| NPI | 1164977286 |
|---|---|
| Former Name | STEPHANIE BLOCKBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008832) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2021-08-19 |