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Individual
MAUNA-LOA MARQUETTE RODGERS-BLANKENSHIP
Active
Individual
MAUNA-LOA MARQUETTE RODGERS-BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95004020
CA
363LF0000X
Family Nurse Practitioner
Primary
95004020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518413087
FNP-C
CA
05
—
1518413087
—
CA
05
—
95004020
—
CA
Enumeration date
08/25/2016
Last updated
11/29/2021
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