Provider Demographics
NPI:1447013263
Name:BLOCHLINGER, MYA JULIANNE
Entity type:Individual
Prefix:MS
First Name:MYA
Middle Name:JULIANNE
Last Name:BLOCHLINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6768 TOWNSHIP ROAD 351
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44654-8239
Mailing Address - Country:US
Mailing Address - Phone:330-473-5476
Mailing Address - Fax:
Practice Address - Street 1:6768 TOWNSHIP ROAD 351
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-8239
Practice Address - Country:US
Practice Address - Phone:330-473-5476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker