Individual provider · Type 1 NPI
Blake Randall Tirman
School Registered Nurse · Phoenix, AZ
NPI number
1306754494
Active
Practice location
4435 E Chandler Blvd
Phoenix, AZ 85048-7649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | 275550 (AZ) |
School Registered Nurse: Definition to come...
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About NPI 1306754494
Blake Randall Tirman's National Provider Identifier is 1306754494, issued on Aug 31, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 31, 2026.