Individual
PAMELA R BLUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
71107 HIGHWAY 21, COVINGTON, LA 70433-7243
(985) 893-2580
Mailing address
71107 HIGHWAY 21, COVINGTON, LA 70433-7243
(985) 893-2580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06940
LA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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