Individual
RAE JEAN BLASCHKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1818 E REZANOF DR, KODIAK, AK 99615-6505
(907) 486-6065
(907) 486-2248
Mailing address
1818 E REZANOF DR, KODIAK, AK 99615-6505
(907) 486-6065
(907) 486-2248
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP7235
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7235
—
MD
Enumeration date
02/10/2006
Last updated
07/08/2007
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