Individual
CHARLOTH VANESA BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1515 7TH ST, ELKO, NV 89801-2859
(775) 299-3738
Mailing address
1515 7TH ST, ELKO, NV 89801-2859
(775) 340-8807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN94269
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
882052
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1213
—
NV
Enumeration date
01/04/2022
Last updated
10/08/2024
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