NPI | 1659763993 |
---|---|
Professional Name | ANDREW JOSEPH BLAES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015005447) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2015005447) |
Enumeration Date | 2015-02-24 |
Last Update Date | 2022-10-19 |