Individual
ELIZABETH BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 426-2407
(573) 426-6723
Mailing address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 426-2407
(573) 426-6723
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2021031899
MO
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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