Mrs Tia Angelique Blystone, CRNP is a
Nurse Practitioner - Family based in New Alexandria, Pennsylvania. Mrs Tia Angelique Blystone is licensed to practice in Pennsylvania (license number SP031129) and her current practice location is
134 Newhouse Rd, New Alexandria, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 691-1169.
NPI number for Mrs Tia Angelique Blystone is 1710701560 and her current mailing address is 134 Newhouse Rd, New Alexandria, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710701560.
Provider's Profile
Full Name | Mrs Tia Angelique Blystone |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 134 Newhouse Rd, New Alexandria, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710701560
- Provider Enumeration Date: 11/08/2024
- Last Update Date: 11/08/2024
Medical Identifiers
Medical identifiers for Mrs Tia Angelique Blystone such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710701560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP031129 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tia Angelique Blystone is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tia Angelique Blystone, CRNP 134 Newhouse Rd, New Alexandria, PA 15670-2584 Ph: (724) 691-1169 | Mrs Tia Angelique Blystone, CRNP 134 Newhouse Rd, New Alexandria, PA 15670-2584 Ph: (724) 691-1169 |
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