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Individual

MS. KRISTEN K BLANDFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1721 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2802
(757) 953-9000
Mailing address
6000 UPPER BRANDON PL, NORFOLK, VA 23508-1137
(414) 248-3139

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175208
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1257845
VA BOARD OF NURSING
VA
01
5013634
NC BOARD OF NURSING
NC
Enumeration date
07/28/2017
Last updated
04/06/2026
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