Individual
STEPHEN JOSEPH BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
618 HOSPITAL RD, TAPPAHANNOCK, VA 22560-5000
(804) 443-3111
Mailing address
68 S SERVICE RD, ST 350, MELVILLE, NY 11747-2354
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024164241
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008939047
—
VA
05
—
1932103884
—
VA
Enumeration date
06/09/2005
Last updated
04/16/2015
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