Individual
REBECCA BLAGUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED REGISTERED
Contact information
Practice address
THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, 3400 SPRUCE STREET, PHILADELPHIA, PA 19104
(215) 316-5151
Mailing address
1199 LUDLOW STREET, APARTMENT 2406, PHILADELPHIA, PA 19107
(905) 531-0611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN719286
PA
363L00000X
Nurse Practitioner
Primary
SP021361
PA
363LP2300X
Primary Care Nurse Practitioner
SP021361
PA
Other
Enumeration date
05/06/2020
Last updated
07/18/2022
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