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Individual

MRS. HEIDI MARIE BLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
247 S BURNETT RD STE 210, SPRINGFIELD, OH 45505-2663
(937) 328-8850
(937) 328-8860
Mailing address
247 S BURNETT RD STE 210, SPRINGFIELD, OH 45505-2663
(937) 328-8850
(937) 328-8860

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.390807
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030517
OH
363LF0000X
Family Nurse Practitioner
LE-00038049
OH

Other

Enumeration date
12/21/2021
Last updated
02/03/2022
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