Individual
MRS. TERESA ANN BLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 S CENTRE ST, POTTSVILLE, PA 17901-3014
(272) 224-1604
(570) 628-5298
Mailing address
PO BOX 1244, POTTSVILLE, PA 17901-7244
(272) 224-1604
(570) 628-5298
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014861
PA
Other
Enumeration date
04/20/2007
Last updated
04/01/2024
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