Individual
PATRICIA JOAN BLANCK-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374-4799
(623) 374-7774
(623) 760-9042
Mailing address
14780 W MOUNTAIN VIEW BLVD, STE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(855) 959-1911
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
224793
AZ
Other
Enumeration date
06/03/2019
Last updated
07/16/2019
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