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Contact Information

ELIZABETH BLANKE
1702 N 16TH ST
COUNCIL BLUFFS, IA51501-0121
 Phone: 712-256-7223
 Fax: 712-256-7669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELIZABETH BLANKE · (Female)

NPI Number 1407107576
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2012
Last updated 10/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IA License # J-127693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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