Individual
MRS. AUNDREA K BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5126
(256) 533-0833
(256) 533-0855
Mailing address
502 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5126
(256) 533-0833
(256) 533-0855
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-131265
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191014
—
AL
Enumeration date
08/17/2016
Last updated
12/29/2016
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