Carrie M. Blaser, APNP
Nurse Practitioner, Pediatrics in Rockford, IL. Individual provider (NPI-1).
NPI number1750454765
StatusActive
Last updated in NPPESFeb 17, 2010
Details
- NPI
- 1750454765
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carrie M. Blaser
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2006
- Last updated
- Feb 17, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 2817 | WI | Yes |
Practice location
1200 W State StRockford, IL 61102-2112
Phone 815-490-1600
Mailing address
1200 W State StRockford, IL 61102-2112
Phone 815-490-1600
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