Individual provider · Type 1 NPI
Mark N. Blanke, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1063083582
Active
Practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP023534 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1063083582
Mark N. Blanke, CRNP's National Provider Identifier is 1063083582, issued on Jul 6, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 6, 2021.