Individual
TAYLOR BLADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
3401 E 30TH ST, FARMINGTON, NM 87402-8805
(505) 599-8617
(855) 290-2205
Mailing address
3401 E 30TH ST, FARMINGTON, NM 87402-8805
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
69121
NM
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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