Individual
DEBBIE MARIE BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(316) 992-8856
Mailing address
940 WITCH HOLLOW ST, GARDNER, KS 66030-1795
(316) 992-8856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79234-061
KS
Other
Enumeration date
04/21/2020
Last updated
05/18/2020
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