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COURTNEY AUDREY BLANCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
14014 N 46TH ST, TAMPA, FL 33613-4237
(813) 284-2229
(813) 377-1681
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(813) 284-2229
(813) 377-1680

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11021541
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117033800
FL
01
WW5RZ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/19/2022
Last updated
08/15/2024
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