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Contact Information

LISA BLYDEN, RN
5902 OLD YORK RD
PHILADELPHIA, PA19141-2342
 Phone: 215-406-8673
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for LISA BLYDEN · (Female)

NPI Number 1023828241
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/09/2025
Last updated 01/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # RN593255
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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