Provider Demographics
NPI:1316135486
Name:BLAESING, CHRISTINA MICHELLE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MICHELLE
Last Name:BLAESING
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15945 CLAYTON RD STE 320
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2492
Mailing Address - Country:US
Mailing Address - Phone:636-256-5350
Mailing Address - Fax:
Practice Address - Street 1:15945 CLAYTON RD STE 320
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-2492
Practice Address - Country:US
Practice Address - Phone:636-256-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-13
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012025819363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily