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Individual

CARLA BLANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-8150
Mailing address
PO BOX 1671, CUMBERLAND, MD 21501-1671
(240) 964-8342

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R184618
MD
363LF0000X
Family Nurse Practitioner
R184618
MD

Other

Enumeration date
07/06/2021
Last updated
08/06/2021
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