NPI | 1326027913 |
---|---|
Former Name | CAROL ANN BLINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001032A) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71001032B) |
363L00000X Nurse Practitioner (Licence: IN 71001032A) | |
Enumeration Date | 2006-01-11 |
Last Update Date | 2015-05-29 |