Individual provider · Type 1 NPI

Tina Marie Blacha, NURSE PRACTIONER

Family Nurse Practitioner · Williamsville, NY

NPI number 1467645507 Active

Practice location

1540 Maple Rd
Williamsville, NY 14221-3647

Fax (716) 568-3037

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF332835 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1467645507

Tina Marie Blacha, NURSE PRACTIONER's National Provider Identifier is 1467645507, issued on Aug 22, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Williamsville, NY. The record was last updated on Aug 12, 2026.