Individual
MRS. AZRA BLAZEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(865) 539-8008
Mailing address
314 CENTURY DR, ROSSVILLE, GA 30741-4835
(423) 290-5383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000015264
TN
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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