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Individual

MR. JONATHON EDWARD BLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1413 W 31ST AVE, ANCHORAGE, AK 99503-3624
(907) 433-9358
(907) 206-7179
Mailing address
23914 THE CLEARING DR, EAGLE RIVER, AK 99577-9659
(907) 422-9358
(907) 206-7179

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
166885
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
402628
NY

Other

Enumeration date
05/24/2019
Last updated
04/27/2026
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