Individual
TASHA L. BLOMSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 E H ST, MC COOK, NE 69001-3482
(308) 344-4110
(308) 344-8369
Mailing address
PO BOX 1207, MC COOK, NE 69001-1207
(308) 344-4110
(308) 344-8369
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1620
NE
Other
Enumeration date
02/09/2012
Last updated
01/19/2025
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