Individual
ALLISON BLAZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1935 MEDICAL DISTRICT DR # F3.214, DALLAS, TX 75235-7701
(844) 424-4537
Mailing address
11410 7 1/8 MILE RD, FRANKSVILLE, WI 53126-9716
(414) 313-4260
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
8872-33
WI
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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