Individual
ABIGAIL LAINE BLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
(573) 458-8822
Mailing address
1877 OSAGE DR, ROLLA, MO 65401-8167
(573) 263-4773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023012588
MO
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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