Individual provider · Type 1 NPI
Lisa Marie Blasko, FNP-C
Family Nurse Practitioner · Payson, AZ
NPI number
1245646629
Active
Practice location
120 E Main St Ste B
Payson, AZ 85541-5618
Fax (928) 468-0002
Mailing address
113 E Brown Rd
Star Valley, AZ 85541-6561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | TAP5705 (AZ) |
| Medical-Surgical Registered Nurse | 163WM0705X | RN152442 (AZ) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1245646629
Lisa Marie Blasko, FNP-C's National Provider Identifier is 1245646629, issued on Jul 7, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Payson, AZ. The record was last updated on Apr 29, 2026.