Individual
MARVEL JEAN BLAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
609 SE KENT ST, GREENFIELD, IA 50849-9454
(641) 743-6189
(641) 743-6217
Mailing address
609 SE KENT ST, GREENFIELD, IA 50849-9454
(641) 743-2123
(641) 743-7292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A047506
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3283259
—
IA
01
—
32933
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
05/20/2006
Last updated
08/05/2013
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