Individual
MISS PRISCILLA ANN BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
30 E APPLE ST, DAYTON, OH 45409-2939
(937) 208-4200
Mailing address
30 E APPLE ST, STE 5254A, DAYTON, OH 45409-2939
(937) 479-5522
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.025257
OH
Other
Enumeration date
07/26/2019
Last updated
08/05/2019
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