Individual
BLAIRE BLANKINSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3201 N VAN BUREN ST STE 350, ENID, OK 73703-1814
(580) 366-0844
(580) 297-5197
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0106365
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200677520A
—
TX
01
—
6B3927
MEDICARE PTAN
TX
Enumeration date
09/27/2016
Last updated
10/31/2023
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