Individual
NICOLE BLYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5445 LANARK RD STE 103, CENTER VALLEY, PA 18034-8694
(484) 526-7035
(866) 522-4579
Mailing address
5445 LANARK RD STE 103, CENTER VALLEY, PA 18034-8694
(484) 526-7035
(866) 522-4579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP028638
PA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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