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NPI Profile for CARLOS M BLANCHARD in MARION, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1689109415 |
|
| Status | Active | |
| Credentials | MSN, RN, AGPCNP | |
| Entity | Individual | |
| Enumeration date | 04/30/2017 | |
| Last updated | 04/30/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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CARLOS M BLANCHARD
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CARLOS M BLANCHARD, MSN, RN, AGPCNP