Individual
LAUREL BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1715 26TH ST, CENTRAL CITY, NE 68826-9501
(308) 946-3015
Mailing address
1715 26TH ST, CENTRAL CITY, NE 68826-9501
(308) 946-3015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47757
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992885891
—
NE
Enumeration date
10/29/2013
Last updated
10/29/2013
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