MR. Blaine Christopher Van Ausdeln, FNP-C, M.S.
NPI #1194720144 in Stockton, California
Provider Information
- NPI Number
- 1194720144
- Entity Type
- Individual
- Name
- MR. Blaine Christopher Van Ausdeln, FNP-C, M.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C, M.S.
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 7373 WEST LN
- City
- Stockton
- State
- California
- ZIP Code
- 95210-3377
- Phone
- (209) 476-3569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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