Keely Marie Blosh
Nurse Practitioner Nurse Practitioner - Acute Care
416 Connable Ave
Petoskey
, Michigan 49770-2212
Keely Marie Blosh
Nurse Practitioner Nurse Practitioner - Acute Care
416 Connable Ave
Petoskey
, Michigan 49770-2212
(231) 547-3424
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Keely Marie Blosh
- 416 Connable Ave
- Petoskey, MI
- Zip : 49770-2212
- Fax : (231) 547-3424
- Phone : (231) 487-4000
Second Address
- Keely Marie Blosh
- 416 Connable Ave
- Petoskey, MI
- Zip : 49770-2212
- Fax : (231) 547-3424
- Phone : (231) 487-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704310535 | MI |
| N | 363LA2100X | Nurse Practitioner - Acute Care | 4704310535 | MI |
National Provider Identifier
| NPI | 1013438530 |
|---|---|
| Provider Name | Keely Marie Blosh |
| First Address | Petoskey, MI 49770-2212 |
| Second Address | Petoskey, MI 49770-2212 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2017 |
| Last Update Date | 18/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.