Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANN ALICYA BLYMIRE
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · NORTHFIELD, IL
Registration Details
- NPI Number
- 1124663398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 12, 2019 (6.4796427187104 yrs)
- Last Updated
- Nov 12, 2019
- License
-
041.405632 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
405 CENTRAL AVENORTHFIELD, IL, 600933006Browse IL providers · Browse ZIP 60093
- Phone
- 8474416500
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
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.