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Mark N Blanke, CRNP
Pediatric Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1063083582

Mark N Blanke is a Pediatric Nurse Practitioner based in Philadelphia, PA and is specialized in Pediatrics. Mark N Blanke practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Mark N Blanke is 1063083582 and holds a License No. SP023534 (Pennsylvania).

The current practice location address for Mark N Blanke is 3400 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-1000.

Location: 3400 Civic Center Blvd, Philadelphia, PA, 19104-5127
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Provider Profile Details
NPI Number
1063083582
Provider Name
Mark N Blanke
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
3400 Civic Center Blvd, Philadelphia, PA, 19104-5127
Phone Number
215-590-1000
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SP023534 01 PA CERTIFIED REGISTERED NURSE PRACTITIONER - PENNSYLVANIA STATE BOARD OF NURSING
NPPA045761 01 PA PRESCRIPTIVE AUTHORITY - PENNSYLVANIA STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd
City
State
Zip
19104-5127
Phone Number
215-590-1000
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd
City
State
Zip
19104-5127
Phone Number
215-590-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
SP023534 (Pennsylvania)
Definition
Definition to come...
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