Individual
ALFRED NICHOLSON BLOUNT JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
20201 CENTURY BLVD, SUITE 480, GERMANTOWN, MD 20874-1113
(301) 515-4222
(301) 515-4153
Mailing address
PO BOX 1510, GERMANTOWN, MD 20875-1510
(301) 515-4222
(301) 515-4153
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN088820
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154903
—
LA
Enumeration date
11/08/2005
Last updated
07/08/2007
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