Individual provider · Type 1 NPI
Matthew Ryan Blackert, FNP
Family Nurse Practitioner · Canal Fulton, OH
NPI number
1689264723
Active
Practice location
6514 Ivyhill Dr NW
Canal Fulton, OH 44614-9432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN.CNP.024115 (OH) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Canal Fulton
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- Adrienne M. Ozbolt, CNPFamily Nurse Practitioner Canal Fulton, OH NPI 1821960063
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About NPI 1689264723
Matthew Ryan Blackert, FNP's National Provider Identifier is 1689264723, issued on Jan 22, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canal Fulton, OH. The record was last updated on Jan 22, 2021.