Individual
BLAKE ERIN ROSEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1429 N 6TH ST FL 4, TERRE HAUTE, IN 47807-1019
(812) 242-3175
Mailing address
1429 N 6TH ST FL 4, TERRE HAUTE, IN 47807-1019
(812) 242-3175
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28205992A
IN
363L00000X
Nurse Practitioner
Primary
28205992A
IN
Other
Enumeration date
12/13/2022
Last updated
02/15/2023
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