Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAINE CHRISTOPHER VAN AUSDELN, FNP-C, M.S.
ActiveFamily Nurse Practitioner · STOCKTON, CA
Registration Details
- NPI Number
- 1194720144
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (20.858328886783 yrs)
- Last Updated
- Jul 9, 2007
- License
-
326768/4523 (CA)
Practice Information
- Address
-
7373 WEST LNSTOCKTON, CA, 952103377Browse CA providers · Browse ZIP 95210
- Phone
- 2094763569
- Fax
- 2094763675
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MS. ELIZABETH A. ROSS | RN, MSN, FNP-C | 1871598896 |
| BONNIE JANE MARTIN | FNP | 1174520480 |
| MS. BRENDA L. HOLIDAY | MSN/FNP-C | 1306839352 |
| MS. PAMELA JEAN DIAS | NURSE PRACTITIONER | 1174514822 |
| MRS. MARY CATHERINE RAYMOND | FNP | 1134198286 |
| PATRICIA A DOPLEMORE | NP | 1790741270 |
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.