Individual provider · Type 1 NPI

Courtney Breanne Blasczyk, PA-C

Physician Assistant · Springfield, MO

NPI number 1104688084 Active

Practice location

2115 S Fremont Ave Ste 2300
Springfield, MO 65804-2233

Call (417) 820-5600 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2024003138 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104688084

Courtney Breanne Blasczyk, PA-C's National Provider Identifier is 1104688084, issued on Jan 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, MO. The record was last updated on Jan 14, 2026.