Individual
ERIC BLETZINGER
Active
Individual
ERIC BLETZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
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
Update your record
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