Nicole Blye, CRNP
Nurse Practitioner in Center Valley, PA. Individual provider (NPI-1).
NPI number1659145175
StatusActive
Last updated in NPPESNov 15, 2023
Details
- NPI
- 1659145175
- Entity type
- Individual (NPI-1)
- Name
- Nicole Blye
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2023
- Certification date
- Nov 15, 2023
- Last updated
- Nov 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP028638 | PA | Yes |
Practice location
5445 Lanark Rd Ste 103Center Valley, PA 18034-8694
Phone 484-526-7035 · Fax 866-522-4579
Mailing address
5445 Lanark Rd Ste 103Center Valley, PA 18034-8694
Phone 484-526-7035 · Fax 866-522-4579
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