Individual
DR. WENDY BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, CPNP-PC
Contact information
Practice address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 456-1600
Mailing address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 456-1600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1046292
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60755101
WA
Other
Enumeration date
05/01/2017
Last updated
10/28/2021
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