Individual provider · Type 1 NPI

Katie Blazusiak

Gerontology Nurse Practitioner · Bethlehem, PA

NPI number 1033589205 Active

Practice location

1565 Linden St
Bethlehem, PA 18017-4744

Fax (610) 867-5366

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XSP015421 (PA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1033589205

Katie Blazusiak's National Provider Identifier is 1033589205, issued on Oct 1, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bethlehem, PA. The record was last updated on Mar 31, 2021.