Individual
PETER COLE BLANKENHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-9999
Mailing address
1406 ARDSLEY PL, BIRMINGHAM, AL 35209-2322
(205) 790-4733
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-079655
AL
363LF0000X
Family Nurse Practitioner
1-079655
AL
Other
Enumeration date
06/29/2017
Last updated
06/30/2023
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