SUSAN LYNNE BLAKEMORE

LAFAYETTE, IN
NPI1437583390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71004535A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  F1214194)
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  A0213010)
Enumeration Date2013-08-28
Last Update Date2021-04-30
Business Address
SUSAN LYNNE BLAKEMORE FNP
3743 LANDMARK DR STE 200
LAFAYETTE, IN 47905-6656
Phone number: 765-448-4511
Mailing Address
SUSAN LYNNE BLAKEMORE FNP
3743 LANDMARK DR STE 200
LAFAYETTE, IN 47905-6656
Phone number: 765-448-4511