Individual provider · NPI-1
Robert Dale Blanchard, RN
Registered Nurse, Home Health · Casa Grande, AZ
NPI number1154637908
StatusActive
Last updated in NPPESAug 30, 2010
Details
- NPI
- 1154637908
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Dale Blanchard
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2010
- Last updated
- Aug 30, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | RN092547 | AZ | Yes |
Practice location
1876 E Sabin DrBuilding A
Casa Grande, AZ 85122-6197
Phone 520-836-2536
Mailing address
1178 S Park Grove CtGilbert, AZ 85296-0914
Phone 480-857-9848
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