Individual
KELLY ANN BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8000
Mailing address
PO BOX 9825, VANCOUVER, WA 98666-8825
(360) 397-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00141866
WA
163WC1500X
Community Health Registered Nurse
Primary
RN00141866
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101772100
—
WA
Enumeration date
06/01/2017
Last updated
06/01/2017
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