Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICIA DIANE BLASICK, PA
ActivePATRICIA DIANE BLASICK, PA is a Medical Physician Assistant healthcare provider located in EAST RIDGE, Tennessee. NPI 1003072059 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · EAST RIDGE, TN
Registration Details
- NPI Number
- 1003072059
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2008 (18.038879959055 yrs)
- Last Updated
- Apr 16, 2019
- License
-
1390 (TN)
Practice Information
- Address
-
1508 TOMBRAS AVEEAST RIDGE, TN, 374122720Browse TN providers · Browse ZIP 37412
- Phone
- 4238674969
- Fax
- 4238674971
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in EAST RIDGE, TN
| Name | Credential | NPI |
|---|---|---|
| KELLIE LAWRENCE HENDERSON | PA | 1225145865 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.