Individual
MRS. NANCY MARY BLACHOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W172N11345 DIVISION RD, APT. 4, GERMANTOWN, WI 53022-2453
(262) 250-1744
Mailing address
2001 N 119TH ST, WAUWATOSA, WI 53226-2011
(414) 453-2972
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
112311
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39856800
—
WI
Enumeration date
03/15/2006
Last updated
07/08/2007
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