Blazek, Toni Ann

Blazek, Toni Ann is an individual health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blazek, Toni Ann can be contacted via phone (402) 559-6275.

Contact Information

Primary practice address
988102 Nebraska Medical Ctr Omaha NE 68198-8102
Fax: (402) 559-7062
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 110344 Nebraska

Profile Details

NPI number 1538126982
LBN Legal business name Blazek, Toni Ann
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jun 30th, 2011 - about 13 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 1538126982 NPPES
Nebraska Other 110344 NE LICENSE

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