Individual
BETSY ANN BLAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
2500 DELANO AVE, MIDLAND, TX 79701-6357
(432) 697-4747
(432) 699-3813
Mailing address
PO BOX 5576, MIDLAND, TX 79704-5576
(432) 570-0238
(432) 699-3815
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
688936
TX
Other
Enumeration date
04/06/2009
Last updated
11/17/2011
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