Individual
SUSAN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., MSN., NP-C
Contact information
Practice address
2013 SAN JOSE BLVD, CARLSBAD, NM 88220-5426
(575) 887-2453
Mailing address
2013 SAN JOSE BLVD, CARLSBAD, NM 88220-5426
(575) 887-2453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN-71990
NM
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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