Individual
DR. DOROTHY BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, FNP-BC
Contact information
Practice address
1216 N BROAD ST, PHILADELPHIA, PA 19121-5177
(215) 236-7530
(215) 236-8206
Mailing address
7515 STENTON AVE, PHILADELPHIA, PA 19150-3710
(267) 335-5264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP020827
PA
363LP2300X
Primary Care Nurse Practitioner
SP020827
PA
Other
Enumeration date
09/21/2019
Last updated
05/05/2020
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