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NPI Code Detail

MEDICARE: ADRIANNE LYN BLEVINS FNP-C

MEDICARE: ADRIANNE LYN BLEVINS FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner28283424AIN

General Provider Information

NPI Number : 1366399917
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANNE LYN BLEVINS FNP-C
Provider Business Mailing Address
First Line : 8135 CALUMET AVE
Second Line :
City : MUNSTER
State : IN
Zip : 46321-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8135 CALUMET AVE
Second Line :
City : MUNSTER
State : IN
Zip : 46321-1701
Country : US
Telephone Number : 219-513-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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