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Mrs. Mariah Jentiel Blaeckbourn-crahen
Family Nurse Practitioner in Mansfield, Ohio
NPI 1376786343

Mariah Jentiel Blaeckbourn-crahen is a Family Nurse Practitioner based in Mansfield, OH and is specialized in Family. Mariah Jentiel Blaeckbourn-crahen practices in Mansfield, OH. The NPI Number for Mariah Jentiel Blaeckbourn-crahen is 1376786343 and holds a License No. NP 10470 (Ohio).

The current practice location address for Mariah Jentiel Blaeckbourn-crahen is 600 W 3Rd St, Mansfield, OH and can be reached out via phone at 419-522-6191.

Location: 600 W 3Rd St, Mansfield, OH, 44906-2633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376786343
Provider Name
Mariah Jentiel Blaeckbourn-crahen
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 W 3Rd St, Mansfield, OH, 44906-2633
Phone Number
419-522-6191
Fax Number
Provider Enumeration Date
04/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 W 3Rd St
City
Mansfield
State
Ohio
Zip
44906-2633
Phone Number
419-522-6191
Fax Number
person
Provider Business Mailing Address Details
Address
600 W 3Rd St
City
Mansfield
State
Ohio
Zip
44906-2633
Phone Number
419-522-6191
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP 10470 (Ohio)
Definition
Definition to come...
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