Individual
ALESHA MICHELE BLACKETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(928) 556-0060
Mailing address
PO BOX 29675, DEPT 2025, PHOENIX, AZ 85038
(928) 814-3332
(480) 987-4417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10186
AZ
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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