Individual
AMY T. BLANCHARD
Active
Individual
AMY T. BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 103680
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP2807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243524
—
AZ
01
—
AP2807
ADULT NURSE PRACTIONER
AZ
01
—
RN103680
RN LICENSE
AZ
01
—
WCSKQ
SUN HEALTH GROUP #
AZ
Enumeration date
07/30/2007
Last updated
11/15/2011
Update your record
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