Individual
CHALICE ANN BLINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
2525 S RURAL RD STE 4N, TEMPE, AZ 85282-2442
(480) 664-2753
(480) 664-2818
Mailing address
740 E HERMOSA DR, TEMPE, AZ 85282-5351
(480) 664-2753
(480) 664-2818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4446
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
727846
—
AZ
Enumeration date
04/23/2012
Last updated
03/09/2015
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