NPI Profile for ELIZABETH BLANZY in GRAND BLANC, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X |
| NPI Number | 1306580261 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/26/2022 | |
| Last updated | 05/30/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELIZABETH BLANZY
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