Healthcare Provider Details

I. General information

NPI: 1679400022
Provider Name (Legal Business Name): BRITANI BLAHOSKI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7300
US

IV. Provider business mailing address

230 3RD ST
WALNUTPORT PA
18088-1436
US

V. Phone/Fax

Practice location:
  • Phone: 484-884-5803
  • Fax:
Mailing address:
  • Phone: 610-657-8969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN715794
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: