NPI | 1295087492 |
---|---|
Former Name | SARAH LAURIE BLEFELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2270550) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R202677) |
163W00000X Registered Nurse (Licence: CO 1637248) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R202677) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0000441-NP) | |
Enumeration Date | 2012-10-11 |
Last Update Date | 2023-05-12 |