Individual
MARY E BLOMSHIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3606 21ST ST, LUBBOCK, TX 79410-1226
(806) 725-1720
(806) 723-7689
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-7800
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
524785
TX
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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