Individual
KEELY MARIE BLOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4000
(231) 547-3424
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4000
(231) 547-3424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704310535
MI
363LA2100X
Acute Care Nurse Practitioner
4704310535
MI
Other
Enumeration date
07/06/2017
Last updated
06/18/2021
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