Blanke, Mark N

Blanke, Mark N is an sole proprietor health care provider with primary practice located at 3400 Civic Center Blvd , Philadelphia PA 19104-5127. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Blanke, Mark N can be contacted via phone (215) 590-1000.

Contact Information

Primary practice address
3400 Civic Center Blvd Philadelphia PA 19104-5127
Phone: (215) 590-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP023534 Pennsylvania

Profile Details

NPI number 1063083582
LBN Legal business name Blanke, Mark N
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2021
Last updated Jul 6th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063083582 NPPES
Pennsylvania Other SP023534 CERTIFIED REGISTERED NURSE PRACTITIONER - PENNSYLVANIA STATE BOARD OF NURSING
Pennsylvania Other NPPA045761 CERTIFIED REGISTERED NURSE PRACTITIONER - PENNSYLVANIA STATE BOARD OF NURSING

Popular Providers