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NPI Code Detail

MEDICARE: MRS. JOANNA L BLATTENBERGER APRN

MEDICARE: MRS. JOANNA L BLATTENBERGER APRN
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
1363LF0000XFamily Nurse PractitionerSP025698PA

General Provider Information

NPI Number : 1689311771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOANNA L BLATTENBERGER APRN
Provider Business Mailing Address
First Line : 1002 MAPLE AVE
Second Line :
City : HOLLIDAYSBURG
State : PA
Zip : 16648-1118
Country : US
Telephone Number : 157-039-6228
Fax Number :
Provider Business Practice Location Address
First Line : 914 S 12TH ST
Second Line :
City : ALTOONA
State : PA
Zip : 16602-6247
Country : US
Telephone Number : 814-201-2309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2022
Last Update Date : 05/19/2022

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