Blanc, Teresa W

Blanc, Teresa W is an individual health care provider with primary practice located at 336 Deerfield Rd Watauga Medical Center, Boone NC 28607-5008. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blanc, Teresa W can be contacted via phone (828) 262-4100.

Contact Information

Primary practice address
336 Deerfield Rd Watauga Medical Center Boone NC 28607-5008
Phone: (828) 262-4100
Fax: (828) 262-4103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 117415 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6298P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 120564 North Carolina

Profile Details

NPI number 1972772317
LBN Legal business name Blanc, Teresa W
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2008
Last updated Aug 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972772317 NPPES
Kentucky MEDICAID 7100103230
Kentucky MEDICAID 425203502

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