Provider Demographics
NPI:1700112539
Name:BLINSINK, TAMBERLYN KATHLEEN (ND)
Entity Type:Individual
Prefix:
First Name:TAMBERLYN
Middle Name:KATHLEEN
Last Name:BLINSINK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 NORMANDY RD
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8432
Mailing Address - Country:US
Mailing Address - Phone:704-796-0827
Mailing Address - Fax:
Practice Address - Street 1:114 W A ST
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-3206
Practice Address - Country:US
Practice Address - Phone:704-796-0827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001125175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath