MRS. Miriam Grace Blasingame, NP-C

NPI #1912548249 in Waco, Texas

Provider Information

NPI Number
1912548249
Entity Type
Individual
Name
MRS. Miriam Grace Blasingame, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP-C
Enumeration Date
Oct 8, 2019
Last Updated
Aug 20, 2020

Practice Location

Address
150 HILLCREST MEDICAL BLVD
City
Waco
State
Texas
ZIP Code
76712-8897
Phone
(254) 202-4000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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