Individual
PATRICIA ANN BLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
HWY 191 ST RT 264, GANADO, AZ 86505
(928) 755-4559
Mailing address
13845 LARKSPUR DR, MONTROSE, CO 81403-9388
(607) 708-3627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
245030
AZ
Other
Enumeration date
07/30/2020
Last updated
10/04/2022
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