Individual
BRENT BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1658
(812) 450-2240
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28215565A
IN
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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