Individual
ERIC BLETZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1930 N LAKEMAN DR, BELLBROOK, OH 45305
(937) 203-3079
Mailing address
1930 N LAKEMAN DR, BELLBROOK, OH 45305-1239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
344976
OH
363LF0000X
Family Nurse Practitioner
Primary
LE-00007472
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021154
STATE BOARD OF NURSING
OH
01
—
LE-00007472
STATE BOARD OF NURSING
OH
Enumeration date
10/26/2010
Last updated
09/02/2019
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