LISA CHRISTINE BLEVENS

MADISON, IN
NPI1538628714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3011473)
Enumeration Date2019-03-18
Last Update Date2022-05-25
Business Address
Mrs. LISA CHRISTINE BLEVENS APRN
1373 E STATE ROAD 62
MADISON, IN 47250-7328
Phone number: 812-801-0800
Mailing Address
Mrs. LISA CHRISTINE BLEVENS APRN
1373 E STATE ROAD 62
MADISON, IN 47250-7328
Phone number: 812-801-0800