Individual
CARLOS M BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGPCNP
Contact information
Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-6800
Mailing address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-6800
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28183638A
IN
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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