Individual
DR. GARRETT DYLAN BLAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Contact information
Practice address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 627-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP022770
PA
Other
Enumeration date
11/06/2020
Last updated
04/07/2022
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