Individual
LEANNE BLYSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
835 HOSPITAL RD, INDIANA, PA 15701-3629
(724) 357-7000
Mailing address
1045 HICKORY LN, INDIANA, PA 15701-2439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024415
PA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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