Individual
RENEE N BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 347-0584
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-092909
AL
Other
Enumeration date
07/03/2012
Last updated
03/17/2018
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