Individual
MRS. NATASHA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
7500 4TH ST N, SAINT PETERSBURG, FL 33702-5400
(727) 526-4122
Mailing address
7500 4TH ST N, SAINT PETERSBURG, FL 33702-5400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9343625
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP 9343625
FL
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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