MEDICARE: MRS. ESTHER C BLISS CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN649807	PA
2	363L00000X	Nurse Practitioner	26NJ15084000	NJ
3	363LA2200X	Adult Health Nurse Practitioner	SPO18214	PA

General Provider Information

NPI Number	:	1346756947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ESTHER C BLISS CRNP

Provider Business Mailing Address
First Line	:	1 W ELM ST
Second Line	:	STE 100
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-4108
Country	:	US
Telephone Number	:	315-744-2019
Fax Number	:

Provider Business Practice Location Address
First Line	:	5630 CHESTNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3232
Country	:	US
Telephone Number	:	215-748-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2017
Last Update Date	:	09/02/2025

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