Blattler, Andrea

Blattler, Andrea is an individual health care provider with primary practice located at 3311 Riverbend Dr Ste 300 , Springfield OR 97477-8800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blattler, Andrea can be contacted via phone (541) 484-4332.

Contact Information

Primary practice address
3311 Riverbend Dr Ste 300 Springfield OR 97477-8800
Phone: (541) 484-4332
Fax: (541) 242-6770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200450065NP Oregon

Profile Details

NPI number 1912013707
LBN Legal business name Blattler, Andrea
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Mar 2nd, 2016 - about 8 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 1912013707 NPPES
Oregon MEDICAID 213486

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