Blaes, Andrew Joseph

Blaes, Andrew Joseph is an individual health care provider with primary practice located at 3105 Mcclelland Blvd. , Joplin MO 64804-1640. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Blaes, Andrew Joseph can be contacted via phone (417) 347-5400.

Contact Information

Primary practice address
3105 Mcclelland Blvd. Joplin MO 64804-1640
Phone: (417) 347-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2015005447 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2015005447 Missouri

Profile Details

NPI number 1659763993
LBN Legal business name Blaes, Andrew Joseph
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Oct 19th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659763993 NPPES
Kansas Other 53-77168-032 KANSAS NURSING LICENSE

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