Individual
MELANIE MARIE BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1292
(319) 398-3804
Mailing address
1503 WASHINGTON DR, VINTON, IA 52349-1654
(319) 472-4053
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H119417
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126635700
—
MN
Enumeration date
06/15/2006
Last updated
03/05/2019
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