Jennifer Rebecca Blastow, NP-C

NPI #1023180569 in Norway, Maine

Provider Information

NPI Number
1023180569
Entity Type
Individual
Name
Jennifer Rebecca Blastow, NP-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
Nov 13, 2006
Last Updated
Aug 7, 2012

Practice Location

Address
193 MAIN ST
Address 2
SUITE 1
City
Norway
State
Maine
ZIP Code
04268-5645
Phone
(207) 743-7721

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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