Individual
KATRINA LYNN BLACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4701 SANGAMORE RD STE N100, BETHESDA, MD 20816-2558
(914) 919-9200
Mailing address
6980 WILDRIDGE RD, COLORADO SPRINGS, CO 80908-2820
(913) 449-4841
(801) 492-1991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0995818-NP
CO
Other
Enumeration date
10/08/2012
Last updated
12/19/2023
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