Individual provider · NPI-1

Christine Blad, RN

Registered Nurse, General Practice · Kansas City, MO

NPI number1679388383
StatusActive
Last updated in NPPESFeb 10, 2025

Details

NPI
1679388383
Entity type
Individual (NPI-1)
Name
Christine Blad
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 10, 2025
Certification date
Feb 10, 2025
Last updated
Feb 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General PracticeNUR-RN-LIC-49188MTYes

Practice location

4251 Northern Ave
Kansas City, MO 64133-1593

Phone 406-437-1770

Mailing address

4251 Northern Ave
Kansas City, MO 64133-1593

Phone 406-437-1770

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