NPI

Tiffany Blasdel

NPI 1376234831

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2023-05-16
Last updated
2023-05-16

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Specialties

Licenses

License 1
150110520

Location

Practice location
424 County Road 1350 N
City
Wayne City IL
Postal code
62895-0420
Phone
(618) 899-0327

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Wayne City, IL. 11 records in the public file.

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