Individual provider · Type 1 NPI
Miriam Grace Blasingame, NP-C
Nurse Practitioner · Waco, TX
Practice location
150 Hillcrest Medical Blvd
Waco, TX 76712-8897
Fax (254) 202-4019
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP143373 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1912548249
Miriam Grace Blasingame, NP-C's National Provider Identifier is 1912548249, issued on Oct 8, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waco, TX. The record was last updated on Aug 20, 2020.