MR. Blaine Christopher Van Ausdeln, FNP-C, M.S. is a family nurse practitioner in Stockton, CA. MR. Blaine Christopher Van Ausdeln, FNP-C, M.S. NPI is 1194720144. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7373 WEST LN
STOCKTON, CA
ZIP 95210-377
Phone: (209) 476-3569
Fax: (209) 476-3675
The NPI 1194720144 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/16/2005 and was last updated on 7/9/2007.