Individual provider · Type 1 NPI

Charles Blagovich

Family Nurse Practitioner · Tulsa, OK

NPI number 1053763334 Active

Practice location

6600 S Yale Ave
Tulsa, OK 74136-3347

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	121198 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1053763334

Charles Blagovich's National Provider Identifier is 1053763334, issued on Jul 11, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 11, 2016.