NPI 1326322975 · live from the CMS NPI Registry
Courtney June Blomme, APRN, CPNP
Nurse Practitioner, Pediatrics in Marshall, MN. National Provider Identifier 1326322975, active.
NPI record
| NPI | 1326322975 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 300 S Bruce St, Marshall, MN 56258 |
| Practice phone | 507-537-9007 |
| Mailing address | 1025 Marsh St, Mankato, MN 56001 |
| Enumerated | September 30, 2011 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
| Other names | Courtney St. Aubin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | CNP3713 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.