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Individual

MRS. ROBERTA F BLASENAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPNP

Contact information

Practice address
801 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5018
(865) 453-4434
(865) 428-3508
Mailing address
4559 WHETSTONE RD, SEVIERVILLE, TN 37862-8195
(865) 774-6471

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4072466
TN

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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