Mysti Blizzard, APN
Nurse Practitioner, Family in Vineland, NJ. Individual provider (NPI-1).
NPI number1982117339
StatusActive
Last updated in NPPESNov 8, 2017
Details
- NPI
- 1982117339
- Entity type
- Individual (NPI-1)
- Name
- Mysti Blizzard
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2017
- Last updated
- Nov 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00765900 | NJ | Yes |
Practice location
1505 W Sherman Ave Ste 101Vineland, NJ 08360-7059
Phone 856-696-9550
Mailing address
1505 W Sherman Ave Ste 101Vineland, NJ 08360-7059
Phone 856-696-9550
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