Individual
BLAYNE NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
470 JOHNSON RD STE 210, WASHINGTON, PA 15301-8944
(412) 206-6770
(724) 941-5027
Mailing address
470 JOHNSON RD STE 210, WASHINGTON, PA 15301-8944
(412) 206-6770
(724) 941-5027
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053436
PA
Other
Enumeration date
09/05/2007
Last updated
11/29/2022
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