IndividualActive
Elizabeth Blanke
NPI 1407107576 · Gerontology Nurse Practitioner · Council Bluffs, IA
Provider details
- NPI number
- 1407107576
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- J-127693 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1702 N 16th St
Council Bluffs, IA 51501-0121
Phone: (712) 256-7223
Fax: (712) 256-7669
Approximate (ZIP-level) locationGet directions
Mailing address
1306 N 52nd St
Omaha, NE 68132-1420
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2012-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.