Individual
MS. BLAINE REBECCA OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
(913) 682-4664
Mailing address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
(913) 682-4664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79669-062
KS
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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