Provider Demographics
NPI:1730747981
Name:BLUMER, CLAIRE
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:BLUMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 ALSTON ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66508-1542
Mailing Address - Country:US
Mailing Address - Phone:785-447-9332
Mailing Address - Fax:
Practice Address - Street 1:606 1ST ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:KS
Practice Address - Zip Code:66415-9637
Practice Address - Country:US
Practice Address - Phone:785-857-3334
Practice Address - Fax:785-857-3397
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant