Individual
MRS. MICHELLE LEE BLAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
231 N CARROLLTON AVE, NEW ORLEANS, LA 70119-5158
(504) 218-4853
(504) 218-4890
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08124
LA
Other
Enumeration date
04/10/2015
Last updated
06/30/2021
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