Individual
STEPHANIE FORD BLACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP
Contact information
Practice address
8515 GREENVILLE AVE STE N108, DALLAS, TX 75243-7035
(214) 221-0855
(214) 221-1437
Mailing address
7200 STATE HIGHWAY 161, SUITE 100, IRVING, TX 75039-2804
(972) 331-7200
(972) 331-7201
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
501766
TX
Other
Enumeration date
08/31/2006
Last updated
06/09/2020
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