Individual
ELIZABETH M BLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6536
(814) 817-2113
Mailing address
110 CAMPUS DR, BRADFORD, PA 16701-1982
(814) 362-6536
(814) 817-2113
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP020244
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05552410
—
NY
05
—
1036404170002
—
PA
Enumeration date
09/19/2007
Last updated
11/16/2023
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