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Individual

CAROLE M BLAZINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CRNP, FNP-BC

Contact information

Practice address
710 THOMPSON AVE, MC KEES ROCKS, PA 15136-3808
(412) 771-6462
(412) 771-5887
Mailing address
710 THOMPSON AVE, MC KEES ROCKS, PA 15136-3808
(412) 771-6462
(412) 771-5887

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
VP003005B
PA
363LF0000X
Family Nurse Practitioner
Primary
VP003005B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VP003005B
LICENSE
PA
Enumeration date
03/08/2006
Last updated
08/12/2025
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