Blaze Fahnestock, FNP
NPI #1386246692 in Pulaski, New York
Provider Information
- NPI Number
- 1386246692
- Entity Type
- Individual
- Name
- Blaze Fahnestock, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Nov 11, 2020
- Last Updated
- Feb 13, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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