Individual
ELAINE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 E PRIMROSE ST, SUITE 320 A & B, SPRINGFIELD, MO 65807-5154
(417) 269-2300
(417) 269-2307
Mailing address
1000 E PRIMROSE ST, SUITE 320 A & B, SPRINGFIELD, MO 65807-5154
(417) 269-2300
(417) 269-2307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
153837
MO
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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