Individual
KATRINA BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(947) 522-1860
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704340647
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704340647
MI
Other
Enumeration date
09/05/2023
Last updated
01/06/2025
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