Individual
MICHELLE LYNN BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1605 MARTIN SPRINGS DR STE 230, ROLLA, MO 65401-2980
(573) 458-6326
Mailing address
455 COUNTY ROAD 856, BUNKER, MO 63629-8150
(573) 604-2214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2005028029
MO
Other
Enumeration date
03/14/2022
Last updated
03/11/2025
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