NPI 1700993201 · live from the CMS NPI Registry
Roberta F Blasenak, RN, CPNP
Nurse Practitioner, Pediatrics in Sevierville, TN. National Provider Identifier 1700993201, active.
NPI record
| NPI | 1700993201 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 801 Middle Creek Rd, Sevierville, TN 37862 |
| Practice phone | 865-453-4434 |
| Mailing address | 4559 Whetstone Rd, Sevierville, TN 37862 |
| Enumerated | August 23, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4072466 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.