Individual provider · Type 1 NPI
Blanca Lugo Martir, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1790721066
Active
Practice location
9501 Roosevelt Blvd, Suite 305
Philadelphia, PA 19114-1025
Fax (215) 464-9034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | VP006234C (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1790721066
Blanca Lugo Martir, CRNP's National Provider Identifier is 1790721066, issued on Jun 22, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.