# ROGER OWEN BLEVINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255304176
- **Gender:** Man
- **Credential:** CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | AP4644 | AZ | — |
| 363LP0200X | Pediatric Nurse Practitioner | CNP02896 | NM | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | R0034727 | OK | — |

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 05/27/2016