Individual
RENAE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
4047 BARTLETT ST, HOMER, AK 99603-7566
(907) 206-2730
(833) 438-1910
Mailing address
PO BOX 39368, NINILCHIK, AK 99639-0368
(907) 567-3970
(907) 567-3902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
706
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619001
—
AK
Enumeration date
06/28/2006
Last updated
06/12/2025
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