Individual
BLAIR FRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 305, ALLENTOWN, PA 18103-6381
(610) 402-3110
Mailing address
1915 STREAMVIEW WAY, QUAKERTOWN, PA 18951-6044
(703) 627-6705
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP026881
PA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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