Individual
ELIZABETH BLANZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 S SAGINAW ST STE 500, GRAND BLANC, MI 48439-2451
(810) 953-8700
Mailing address
8200 S SAGINAW ST STE 500, GRAND BLANC, MI 48439-2451
(805) 459-8992
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704329644
MI
363LF0000X
Family Nurse Practitioner
Primary
4704329644NSA220MX
MI
Other
Enumeration date
04/26/2022
Last updated
05/30/2024
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