Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TIA ANGELIQUE BLYSTONE, CRNP
Active Sole ProprietorFamily Nurse Practitioner · NEW ALEXANDRIA, PA
Registration Details
- NPI Number
- 1710701560
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2024 (1.4510607219895 yrs)
- Last Updated
- Nov 8, 2024
- License
-
SP031129 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
134 NEWHOUSE RDNEW ALEXANDRIA, PA, 156702584Browse PA providers · Browse ZIP 15670
- Phone
- 7246911169
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.