Individual
PEYTON MADISON BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
(502) 570-5063
Mailing address
116 REDDING LAKE CIR, GEORGETOWN, KY 40324-2628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013850
KY
363LF0000X
Family Nurse Practitioner
Primary
3013850
KY
Other
Enumeration date
01/09/2020
Last updated
10/16/2023
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