NPI Profile for LEISA D BLANCHARD in LOCKWOOD, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Diabetes Educator |
163WD0400X |
| NPI # | 1861693640 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 05/30/2007 | |
| Last updated | 02/08/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LEISA D BLANCHARD
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