Individual
ELIZABETH BLAIR BLAZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 N HIGH ST STE 4-102, COLUMBUS, OH 43215-1430
(614) 636-5017
Mailing address
8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
(502) 638-4280
(502) 638-4281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016382
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1132681
LICENSE
KY
Enumeration date
06/08/2021
Last updated
02/05/2024
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