Eva Novak Blight
Nurse Practitioner - Neonatal
301 University Blvd
Galveston
, Texas 77555-5302
Eva Novak Blight
Nurse Practitioner - Neonatal
301 University Blvd
Galveston
, Texas 77555-5302
(409) 772-2222
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Eva Novak Blight
- 301 University Blvd
- Galveston, TX
- Zip : 77555-5302
- Phone : (409) 772-2222
Second Address
- Eva Novak Blight
- 301 University Blvd
- Galveston, TX
- Zip : 77555-5302
- Phone : (409) 772-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | AP110635 | TX |
National Provider Identifier
| NPI | 1003085259 |
|---|---|
| Provider Name | Eva Novak Blight |
| First Address | Galveston, TX 77555-5302 |
| Second Address | Galveston, TX 77555-5302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2008 |
| Last Update Date | 06/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 45-2578435 | TRICARE (01) | TX |
| 45-2578435-001 | TRICARE (01) | TX |
| 45-2578435-002 | TRICARE (01) | TX |
| P01536092 | RAIL ROAD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.