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Audrey Blaine, FNP
Family Nurse Practitioner in Chula Vista, California
NPI 1629311964

Audrey Blaine is a Family Nurse Practitioner based in San Diego, CA and is specialized in Family. Audrey Blaine practices in Chula Vista, CA and has the professional credentials of FNP. The NPI Number for Audrey Blaine is 1629311964 and holds a License No. 21933 (California).

The current practice location address for Audrey Blaine is 751 Medical Center Ct, Chula Vista, CA and can be reached out via phone at 619-502-5800.

Location: 751 Medical Center Ct, Chula Vista, CA, 92111-7338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629311964
Provider Name
Audrey Blaine
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
751 Medical Center Ct, Chula Vista, CA, 92111-7338
Phone Number
619-502-5800
Fax Number
Provider Enumeration Date
04/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
751 Medical Center Ct
City
Chula Vista
State
California
Zip
91911-6617
Phone Number
619-502-5800
Fax Number
person
Provider Business Mailing Address Details
Address
751 Medical Center Ct
City
Chula Vista
State
California
Zip
91911-6617
Phone Number
619-502-5800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
21933 (California)
Definition
Definition to come...
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