Organization
PREVENTATIVE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA MARIE BLANDING FNP (FAMILY NURSE PRACTITIONER)
(734) 225-6507
Entity
Organization
Contact information
Practice address
20600 EUREKA RD STE 522, TAYLOR, MI 48180-5373
(734) 225-6507
(734) 225-6513
Mailing address
20600 EUREKA RD STE 522, TAYLOR, MI 48180-5373
(734) 225-6507
(734) 225-6513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704190451
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500H258620
BCBS
MI
Enumeration date
06/14/2010
Last updated
06/14/2010
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