Individual
MRS. NANCY ERSKINE BLAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
23875 COMMERCE PARK DR., SUITE # 160, BEACHWOOD, OH 44122
(216) 577-4226
(216) 378-8900
Mailing address
23875 COMMERCE PARK DR., SUITE # 160, BEACHWOOD, OH 44122
(216) 577-4226
(216) 378-8900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5015
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD5015
OHIO BOARD OF DIETETICS
OH
01
—
R468862
AMERICAN DIETETIC ASSOCIA
OH
Enumeration date
12/05/2006
Last updated
07/08/2007
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