Individual
GINGER RENEE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP FNP-BC
Contact information
Practice address
11133 W. NATIONAL AVENUE, WEST ALLIS, WI 53227
(414) 327-2295
(414) 328-4497
Mailing address
N3354 NARCISSUS RD, LAKE GENEVA, WI 53147-2945
(262) 325-9973
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10097-33
WI
Other
Enumeration date
06/12/2020
Last updated
11/23/2021
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