Individual provider · Type 1 NPI
Audrey Blaine, F.N.P
Family Nurse Practitioner · Chula Vista, CA
NPI number
1629311964
Active
Practice location
751 Medical Center Ct
Chula Vista, CA 91911-6617
Mailing address
1535 Northrim Ct Unit 258
San Diego, CA 92111-7338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 21933 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629311964
Audrey Blaine, F.N.P's National Provider Identifier is 1629311964, issued on Apr 5, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chula Vista, CA. The record was last updated on Sep 4, 2021.