Provider Demographics
NPI:1285516179
Name:BLESSINGTON, IAN ANDRU
Entity type:Individual
Prefix:
First Name:IAN
Middle Name:ANDRU
Last Name:BLESSINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 E YALE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-1534
Mailing Address - Country:US
Mailing Address - Phone:480-395-9542
Mailing Address - Fax:
Practice Address - Street 1:2227 E YALE ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-1534
Practice Address - Country:US
Practice Address - Phone:480-395-9542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSD00934337253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care