Tracy Elizabeth Blanton, NP

NPI #1508290289 in La Porte, Indiana

Provider Information

NPI Number
1508290289
Entity Type
Individual
Name
Tracy Elizabeth Blanton, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Aug 29, 2013
Last Updated
Aug 29, 2013

Practice Location

Address
1007 LINCOLNWAY
State
Indiana
ZIP Code
46350-3201
Phone
(219) 325-5474

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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