Blythe, Aundrea K
Blythe, Aundrea K is an individual health care provider with primary practice located at 502 Governors Dr Sw , Huntsville AL 35801-5126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blythe, Aundrea K can be contacted via phone (256) 533-0833.Contact Information
Primary practice address
502 Governors Dr Sw
Huntsville AL 35801-5126
Phone: (256) 533-0833
Fax: (256) 533-0855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 1-131265 | Alabama |
Profile Details
| NPI number | 1811442049 |
|---|---|
| LBN Legal business name | Blythe, Aundrea K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2016 |
| Last updated | Dec 29th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811442049 | NPPES |
| Alabama | MEDICAID | 191014 |
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