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Individual

NICOLE BLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
3145 45TH ST, SUITE M, HIGHLAND, IN 46322-3291
(219) 922-9150
(219) 922-9180
Mailing address
3145 45TH ST, SUITE M, HIGHLAND, IN 46322-3291
(219) 922-9150
(219) 922-9180

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28181106A
IN

Other

Enumeration date
10/15/2013
Last updated
10/15/2013
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