Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLANCHE EATON
Active Sole ProprietorPreferred Provider Organization · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1629477633
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2014 (11.688888555423 yrs)
- Last Updated
- Aug 14, 2014
- License
-
3675466 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1502 W BROADWAY AVEMINNEAPOLIS, MN, 554112408Browse MN providers · Browse ZIP 55411
- Phone
- 6125292399
- Fax
- 6125292399
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Other Preferred Provider Organization Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| MOHAMED S HAREED | — | 1437468337 |
| MR. ISSE MOHAMED ELMI | — | 1649675869 |
| HIBAQ WARSAME | — | 1699226829 |
| SHUKRI AGOOLE | — | 1508317736 |
| SUADO HIRSI DIRIR | — | 1417493990 |
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.