Individual
VALERIE LYNN BLATNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
10006 CHIMNEY DR, WAXHAW, NC 28173-6898
(704) 256-3300
Mailing address
10006 CHIMNEY DR, WAXHAW, NC 28173-6898
(704) 256-3300
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
5734
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1401
—
SC
Enumeration date
10/17/2006
Last updated
01/26/2012
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