Individual
BOBBI BLAKESLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2386
(231) 935-5000
Mailing address
250 COLTON AVE, LACKAWANNA, NY 14218-2635
(716) 395-5585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704412619
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
148330
NY
Other
Enumeration date
02/28/2024
Last updated
05/08/2024
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