Individual
FAYE H BLASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
BON SECOURS NEUROLOGY, 801 ROPER CREEK DRIVE, GREENVILLE, SC 29615-6938
(864) 516-1170
(877) 249-9483
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4179
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
05
—
NP1604
—
SC
Enumeration date
04/13/2010
Last updated
06/11/2018
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