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Individual

MS. KARLA R BLACKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
535 FORTUNE DR STE 100, PAPILLION, NE 68046-3429
(402) 933-2222
(402) 505-3886
Mailing address
535 FORTUNE DR STE 100, PAPILLION, NE 68046-3429
(402) 933-2222
(402) 505-3886

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110102
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35834
BCBS
Enumeration date
11/30/2006
Last updated
12/17/2012
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