Individual
MINDY MARIE BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 559-6195
(402) 559-9586
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
(402) 559-9586
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
111824
NE
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
111824
NE
Other
Enumeration date
07/20/2015
Last updated
06/10/2016
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