India M. Blue, P.A. Valid NPI

Individual provider · Physician Assistant · Hickory, NC

NPI

1578860110

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

104209 (NC)

Sex

Female

Sole proprietor

No

Enumerated

2011-02-17

Last updated

2016-09-14