Individual provider · Type 1 NPI

Kathleen Teaman Blazoff, APRN, BC

Adult Health Nurse Practitioner · Detroit, MI

NPI number 1558452805 Active

Practice location

7733 E Jefferson Ave
Detroit, MI 48214-3707

Fax (313) 499-4089

Mailing address

218 Mckinley Ave
Grosse Pointe Farms, MI 48236-3507

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X4704162765 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1558452805

Kathleen Teaman Blazoff, APRN, BC's National Provider Identifier is 1558452805, issued on Sep 28, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.