GLADYS BLACKBURN

PERU, IN
NPI1861005589
Former NameGLADYS ALALADE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010379A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28222639A)
Enumeration Date2020-08-24
Last Update Date2025-02-28
Business Address
GLADYS BLACKBURN NP
285 W 12TH ST STE 206
PERU, IN 46970-1654
Phone number: 765-472-5335
Mailing Address
GLADYS BLACKBURN NP
285 W 12TH ST STE 206
PERU, IN 46970-1654
Phone number: 765-472-5335