Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | AP133429 | TX |
Y | 363LN0000X | Nurse Practitioner - Neonatal | RN281855 | GA |
NPI | 1023558921 |
---|---|
Provider Name | Sarah Blankenship |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2017 |
Last Update Date | 12/12/2018 |