Individual
DIANE BLENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8208 GALLATIN DR, AUSTIN, TX 78736-3136
(512) 632-7864
Mailing address
8208 GALLATIN DR, AUSTIN, TX 78736-3136
(512) 632-7864
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1076257
TX
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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