Provider Demographics
NPI:1932949419
Name:BLAMER, NATASHA R (MSN, APRN-AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:R
Last Name:BLAMER
Suffix:
Gender:F
Credentials:MSN, APRN-AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BOBBY JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-0012
Mailing Address - Country:US
Mailing Address - Phone:606-316-9073
Mailing Address - Fax:
Practice Address - Street 1:2400 HARRODSBURG RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2162
Practice Address - Country:US
Practice Address - Phone:859-278-0319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4019309363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care