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NPI Code Detail

MEDICARE: KRISTA BLANKINSHIP FNP

MEDICARE: KRISTA BLANKINSHIP FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71006356AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982050548
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA BLANKINSHIP FNP
Provider Business Mailing Address
First Line : 130 E CLEVELAND RD
Second Line :
City : GRANGER
State : IN
Zip : 46530-5620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 E CLEVELAND RD
Second Line :
City : GRANGER
State : IN
Zip : 46530-5620
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2016
Last Update Date : 02/14/2023

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Directions to “ KRISTA BLANKINSHIP FNP” Practice Location

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