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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW ELLIOTT BLAKLEY, FNP-BC

Active Sole Proprietor

ANDREW ELLIOTT BLAKLEY, FNP-BC is a Family Nurse Practitioner healthcare provider located in DEDEDO, Guam. NPI 1992288989 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · DEDEDO, GU

Registration Details

NPI Number
1992288989
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2018 (7.8747628996612 yrs)
Last Updated
Jan 25, 2024
Licenses
RE2535 (GU)
AP139003 (TX)
NP0189 (GU)
827646 (TX)
Sole Proprietor
Yes

Practice Information

Address
133 ROUTE 3
DEDEDO, GU, 969296911
Browse GU providers · Browse ZIP 96929
Phone
6716455500
Fax
6716455615
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Additional Specialty
General Practice Nurse

Other Family Nurse Practitioner Providers in DEDEDO, GU

Name Credential NPI
SHERI LYNNE TACKETT APRN-CNP 1477855468
MEAGAN BAMBA-ADA FNP-C 1568874345
MS. THORA C. MARK NP-C 1336658889
MRS. VICTORIA KAMAKEA BALLARES FNP-BC 1245725167
LILIA LYNCH 1912475872
MAUREEN L TANG FNP-BC 1689321044
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.