Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bart L Blaylock, RN

Individual provider Case Management Registered Nurse · NPI 1588341200

Bart L Blaylock, RN is a Case Management Registered Nurse in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

15810 N 28th Ave
Phoenix, AZ 85053-4074
Phone: (480) 758-8626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence RN144618 (AZ)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence RN144618 (AZ)

Record details

NPI number1588341200
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 4, 2023
Last updated in NPPESJuly 4, 2023
Certification dateJuly 4, 2023
Mailing address15810 N 28th Ave, Phoenix, AZ 85053-4074

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