Individual provider · Type 1 NPI
Tia Angelique Blystone, CRNP
Family Nurse Practitioner · New Alexandria, PA
NPI number
1710701560
Active
Practice location
134 Newhouse Rd
New Alexandria, PA 15670-2584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP031129 (PA) |
Family Nurse Practitioner: Definition to come...
About NPI 1710701560
Tia Angelique Blystone, CRNP's National Provider Identifier is 1710701560, issued on Nov 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Alexandria, PA. The record was last updated on Nov 8, 2024.