Individual
VICKI D BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
204 N 4TH AVE E, NEWTON, IA 50208-3135
(641) 792-1273
(641) 791-4852
Mailing address
204 N 4TH AVE E, NEWTON, IA 50208-3135
(641) 792-1273
(641) 791-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-103442
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438531
—
IA
01
—
19813
BCBS PROVIDER #
IA
Enumeration date
06/02/2005
Last updated
04/10/2008
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