TARA RENE BLACKWELDER

OFFUTT AFB, NE
NPI1831526557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP8238)
Enumeration Date2013-09-27
Last Update Date2023-07-10
Business Address
Mrs. TARA RENE BLACKWELDER NP-C
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-6033
Mailing Address
Mrs. TARA RENE BLACKWELDER NP-C
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-6033