Individual
MARIAH BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
101 W IRVINGTON RD, TUCSON, AZ 85714-3050
(520) 670-3909
(520) 309-2560
Mailing address
6700 N ORACLE RD STE 411, TUCSON, AZ 85704-7734
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP9035
AZ
Other
Enumeration date
10/15/2015
Last updated
10/24/2022
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