Individual
MRS. LEAH PARRISH BLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2630 E 7TH ST STE 100, CHARLOTTE, NC 28204-4319
(704) 355-9484
Mailing address
1423 BROCKENFELT DR, CHARLESTON, SC 29414-9122
(704) 807-5678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23286
SC
363LA2100X
Acute Care Nurse Practitioner
15655
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
5021356
NC
Other
Enumeration date
04/05/2011
Last updated
01/28/2025
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