Individual
BRYAN MATTHEW BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
230 W WASHINGTON SQ, PHILADELPHIA, PA 19106-3500
(215) 829-8713
Mailing address
230 W WASHINGTON SQ, PHILADELPHIA, PA 19106-3500
(215) 829-8713
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP007894
PA
Other
Enumeration date
06/14/2006
Last updated
02/01/2013
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