Individual
KACY BLADERGROEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
2150 SE SALERNO RD STE 200, STUART, FL 34997-6572
(772) 223-5777
Mailing address
2150 SE SALERNO RD STE 200, STUART, FL 34997-6572
(772) 223-5777
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
9264276
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9264276
FL
Other
Enumeration date
03/09/2009
Last updated
04/05/2023
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