Individual
ELIZABETH BLUNT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(215) 769-1100
(215) 769-1117
Mailing address
701 IVINS RD, PHILADELPHIA, PA 19128-1906
(215) 483-3162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP005980B
PA
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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