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Ms. Carrie M. Blaser, APNP
Pediatric Nurse Practitioner in Rockford, Illinois
NPI 1750454765

Carrie M. Blaser is a Pediatric Nurse Practitioner based in Rockford, IL and is specialized in Pediatrics. Carrie M. Blaser practices in Rockford, IL and has the professional credentials of APNP. The NPI Number for Carrie M. Blaser is 1750454765 and holds a License No. 2817 (Illinois).

The current practice location address for Carrie M. Blaser is 1200 W State St, Rockford, IL and can be reached out via phone at 815-490-1600. You can also correspond with Carrie M. Blaser through the mailing address at 1200 W STATE ST, ROCKFORD, IL - 61102-2112 (mailing address contact number: 815-490-1600).

Location: 1200 W State St, Rockford, IL, 61102-2112
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Provider Profile Details
NPI Number
1750454765
Provider Name
Carrie M. Blaser
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
1200 W State St, Rockford, IL, 61102-2112
Phone Number
815-490-1600
Fax Number
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000810765898 01 PHCS
41278800 05 WI
institution
Provider Business Practice Location Address Details
Address
1200 W State St
City
State
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
person
Provider Business Mailing Address Details
Address
1200 W State St
City
State
Zip
61102-2112
Phone Number
815-490-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2817 (Wisconsin)
Definition
Definition to come...
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