Individual
CASEY DANIEL BLONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4001 E BASELINE RD STE 204, GILBERT, AZ 85234-2743
(480) 565-6440
Mailing address
4101 S DEW DROP CT, GILBERT, AZ 85297-9655
(347) 524-5220
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN195764
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
302097
AZ
Other
Enumeration date
08/24/2021
Last updated
01/10/2024
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