Individual
BARBARA L BLAUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1326 S SERVICE RD W STE 10, SULLIVAN, MO 63080-2306
(573) 468-4455
(573) 468-4451
Mailing address
1326 S SERVICE RD W STE 10, SULLIVAN, MO 63080-2306
(573) 468-4455
(573) 468-4451
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
065871
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423917111
—
MO
Enumeration date
05/06/2007
Last updated
11/03/2020
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