| Organization Name: | PREVENTATIVE PRIMARY CARE |
| NPI Number: | 1043531007 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHEILA MARIE BLANDING (FAMILY NURSE PRACTITIONER) |
| Mailing Address: | 20600 Eureka Rd Ste 522 Taylor |
| State: | MI US |
| Postal Code: | 481805373 |
| Phone Number: | 7342256507 |
| Fax Number: | 7342256513 |
| NPI Enumeration Date: | 06/14/2010 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704190451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |