Organization
TRUFORM HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR WATKINS DNP, APRN, FNP-C (OWNER/PROVIDER)
(316) 803-0871
Entity
Organization
Contact information
Practice address
511 S MALCOLM AVE, CHANUTE, KS 66720-2341
(316) 803-0871
(620) 202-6570
Mailing address
511 S MALCOLM AVE, CHANUTE, KS 66720-2341
(316) 803-0871
(620) 202-6570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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