Individual provider · Type 1 NPI

Paige Blumenthal, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1972013118 Active

Practice location

6608 Castor Ave
Philadelphia, PA 19149-2120

Mailing address

630 S American St
Philadelphia, PA 19147-2304

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP017745 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1972013118

Paige Blumenthal, CRNP's National Provider Identifier is 1972013118, issued on Oct 2, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 2, 2017.