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NPI Profile for ALLIE B BLAZZARD in SAINT GEORGE, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1114183886 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 08/01/2008 | |
| Last updated | 08/01/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ALLIE B BLAZZARD
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ALLIE B BLAZZARD, FNP-C