Individual
MRS. MARY E BLASINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP,APN
Contact information
Practice address
2204 E SULLENBERGER AVE, MALVERN, AR 72104-4806
(501) 332-6972
(501) 332-6889
Mailing address
982 WINE DOT RD, MALVERN, AR 72104-7551
(501) 337-0840
(501) 332-6889
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
P01165
AR
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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