Individual provider · Type 1 NPI

Stephanie Ford Blache, MS, RN, CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1811008592 Active

Practice location

8515 Greenville Ave Ste N108
Dallas, TX 75243-7035

Fax (214) 221-1437

Mailing address

7200 State Highway 161, Suite 100
Irving, TX 75039-2804

Other practice locations

  • 7200 State Highway 161, Suite 100, Irving, TX 75039-2804 · (972) 331-7200

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X501766 (TX)

Pediatric Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1811008592

Stephanie Ford Blache, MS, RN, CPNP's National Provider Identifier is 1811008592, issued on Aug 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Jun 9, 2020.