Individual
RACHEL ANN BLACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 42ND ST NE STE F, CEDAR RAPIDS, IA 52402-3063
(319) 261-1379
Mailing address
825 PALMYRA DR NE, CEDAR RAPIDS, IA 52402-6590
(908) 902-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A118718
IA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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