Individual
BERNARD MILES BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CRN
Contact information
Practice address
2150 S RAINBOW BLVD, LAS VEGAS, NV 89146-2982
(702) 838-4644
(702) 320-1142
Mailing address
2595 S TENAYA WAY, LAS VEGAS, NV 89117-2903
(646) 765-4267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
827904
NV
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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