Misty Hallonquis Blalock in Lafayette - Family
Misty Hallonquis Blalock - NPI 1114928439
Misty Hallonquis Blalock is a Family in Lafayette, Louisiana. Misty Hallonquis Blalock practices all healthcare services and medical treatments related to Family. The NPI Number for Misty Hallonquis Blalock is 1114928439. The last update date is 2023-03-21.
Misty Hallonquis Blalock's current location address is 200 Corporate Blvd, Lafayette, Louisiana. You can contact this provider via phone number 8008939698. The mailing address for Misty Hallonquis Blalock is 200 Corporate Blvd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misty Hallonquis Blalock |
|---|---|
| Address | 200 Corporate Blvd, Lafayette, Louisiana |
| Phone Number | 8008939698 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1114928439 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2023-03-21 |
Provider Mailing Address Detail
| Address | 200 Corporate Blvd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705083870 |
| Phone Number | 8008939698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 651612 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12008144 | CAQH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Misty Hallonquis Blalock?
The Misty Hallonquis Blalock has been issued the NPI (National Provider Identifier) 1114928439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Misty Hallonquis Blalock is physically located?
The Misty Hallonquis Blalock is situated at the following address: 200 Corporate Blvd, Lafayette, LA 705083870.
What is Misty Hallonquis Blalock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Misty Hallonquis Blalock is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114928439 to Misty Hallonquis Blalock?
The Misty Hallonquis Blalock received its 1114928439 assignment from the Centers for Medicare & Medicaid Services on 2005-08-09.
As of what date were the Misty Hallonquis Blalock's details last updated?
The information pertaining to the Misty Hallonquis Blalock, including its address, specialty, and other details, was most recently updated on 2023-03-21.