Individual
MR. THOMAS BLUBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1908 CHEROKEE AVE SW, CULLMAN, AL 35055-5502
(256) 736-1460
Mailing address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 739-0801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-150675
AL
363LF0000X
Family Nurse Practitioner
Primary
1-150675
AL
Other
Enumeration date
11/17/2019
Last updated
01/06/2022
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