Individual
CHARLOTTE LEE BLANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2412 IRISH BEND CT, FISHERVILLE, KY 40023-8802
(502) 314-3460
Mailing address
2412 IRISH BEND CT, FISHERVILLE, KY 40023-8802
(502) 314-3460
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1059880
KY
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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