Individual provider · Type 1 NPI

Dana Chanel Blazak, MSN, FNP-C

Family Nurse Practitioner · New London, NH

NPI number 1104724111 Active

Practice location

273 County Rd
New London, NH 03257-5736

Mailing address

167 Pierce Lake Rd
Antrim, NH 03440-3702

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF10261079 (NH)

Family Nurse Practitioner: Definition to come...

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About NPI 1104724111

Dana Chanel Blazak, MSN, FNP-C's National Provider Identifier is 1104724111, issued on Oct 29, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New London, NH. The record was last updated on Oct 29, 2026.