Individual
MITZI BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
7333 E. 121ST ST S, SUITE 200, BIXBY, OK 74008
(918) 403-7140
(918) 856-5392
Mailing address
7333 E. 121ST ST. S., BIXBY, OK 74008
(918) 403-7140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0072233
OK
Other
Enumeration date
02/13/2016
Last updated
05/22/2018
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