Healthcare Provider Details

I. General information

NPI: 1194661298
Provider Name (Legal Business Name): ANDREA BLASZYK MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 THIRD ST
TRIBUNE KS
67879-9684
US

IV. Provider business mailing address

PO BOX 338
TRIBUNE KS
67879-0338
US

V. Phone/Fax

Practice location:
  • Phone: 620-376-4251
  • Fax:
Mailing address:
  • Phone: 620-376-4251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026015308
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: