Individual
MS. BLAKE BORDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 BLAND ST, BENTON, MO 63736-9206
(573) 427-6027
(573) 427-6027
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017026029
MO
Other
Enumeration date
01/22/2018
Last updated
12/07/2021
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