MR. BLAINE VAN AUSDELN, FNP-C, M.S.
Nurse Practitioner - Family
Active
Individual
NPI: 1194720144
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 326768/4523 (CA) |
Frequently Asked Questions
NPI 1194720144 is the National Provider Identifier for MR. BLAINE VAN AUSDELN, FNP-C, M.S., a Nurse Practitioner - Family provider located in Stockton, CA. This NPI was enumerated on June 16, 2005.
MR. BLAINE VAN AUSDELN, FNP-C, M.S. practices at 7373 WEST LN, Stockton, CA 95210.
Quick Facts
- NPI
- 1194720144
- Type
- Individual
- Enumerated
- Jun 16, 2005
- Last Updated
- Jul 9, 2007
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