Individual provider · Type 1 NPI
Mirtha Lidia Blanco, APRN
Family Nurse Practitioner · New York, NY
NPI number
1104605625
Active
Practice location
560 W 168th St
New York, NY 10032-3917
Mailing address
560 W 168YH Street
New York, NY 10032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11028794 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104605625
Mirtha Lidia Blanco, APRN's National Provider Identifier is 1104605625, issued on Sep 25, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Aug 14, 2026.