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Individual

MRS. KRISTIN VASSER BLANCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
805 CURRENCY CIR, LAKE MARY, FL 32746-2115
(407) 804-6133
(866) 447-9143
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 432-8200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003769
FL
363LF0000X
Family Nurse Practitioner
APRN11003769
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108070100
FL
Enumeration date
07/31/2020
Last updated
04/20/2023
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