Individual
NATALIE BLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704297408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704297408
MICHIGAN LICENSE
MI
Enumeration date
04/27/2018
Last updated
11/27/2023
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