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Individual

NEIDA L. BLONDET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
1380 N FILLMORE ST, SUITE 100, COLORADO SPRINGS, CO 80907-6464
(719) 630-1006
(719) 630-0688
Mailing address
1380 N FILLMORE ST, SUITE 100, COLORADO SPRINGS, CO 80907-6464
(719) 630-1006
(719) 630-0688

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN11004553
FL
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0001783-C-NP
CO

Other

Enumeration date
10/11/2019
Last updated
12/09/2019
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