Individual
KRISTA LEE BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
1002 RUMSEY AVE STE A, CODY, WY 82414-3533
(307) 395-7510
(307) 395-7511
Mailing address
1002 RUMSEY AVE STE A, CODY, WY 82414-3533
(307) 395-7510
(307) 395-7511
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
19373.1191
WY
Other
Enumeration date
02/21/2012
Last updated
02/15/2024
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