Alexander, Mylissa Blayne
Alexander, Mylissa Blayne is an individual health care provider with primary practice located at 3906 E Us Highway 377 Suite 100, Granbury TX 76049-7608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alexander, Mylissa Blayne can be contacted via phone (817) 279-1390.Contact Information
Primary practice address
3906 E Us Highway 377 Suite 100
Granbury TX 76049-7608
Phone: (817) 279-1390
Fax: (817) 573-5150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 683870 | Texas |
Profile Details
| NPI number | 1952736811 |
|---|---|
| LBN Legal business name | Alexander, Mylissa Blayne |
| Credentials | APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2013 |
| Last updated | Apr 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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