NPI 1659721579 · live from the CMS NPI Registry
Teressa Blanchard
Nurse Practitioner, Pediatrics in Newark, OH. National Provider Identifier 1659721579, active.
NPI record
| NPI | 1659721579 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1865 Tamarack Rd, Newark, OH 43055 |
| Practice phone | 220-564-4934 |
| Enumerated | June 22, 2016 |
| Last updated | March 18, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | APRN.CNP.19268 (OH) |
| Nurse Practitioner, Family | 363LF0000X | COA.19268-NP (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.