Search › Arizona › 163WA2000X

Bart Blaylock, RN

NPI 1588341200 · on the registry since 2023 · sole proprietor

Practice

Address
15810 N 28th Ave
Phoenix, AZ 85053
Phone
(480) 758-8626

Registry record

Primary taxonomy
163WA2000X
163WA2000X
Also registered as
163WC0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona