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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH BLANKE

Active

ELIZABETH BLANKE is a Gerontological Nurse Practitioner healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1407107576 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · COUNCIL BLUFFS, IA

Registration Details

NPI Number
1407107576
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2012 (13.83305510314 yrs)
Last Updated
Oct 8, 2012
License
J-127693 (IA)

Practice Information

Address
1702 N 16TH ST
COUNCIL BLUFFS, IA, 515010121
Browse IA providers · Browse ZIP 51501
Phone
7122567223
Fax
7122567669
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.