| NPI | 1881637544 |
|---|---|
| Former Name | LEE ANN BLAZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201909919cns-pp) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 209003516(41202399)) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WA 60677450) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-12-22 |