Individual
DIANE BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1700 HORIZON DR, CHALFONT, PA 18914-3950
(215) 997-9737
(215) 997-9738
Mailing address
PO BOX 788735, PHILADELPHIA, PA 19178-8735
(215) 456-7000
(215) 254-3289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014022540
PA
363LF0000X
Family Nurse Practitioner
Primary
SP014324
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036011790004
—
PA
Enumeration date
10/01/2014
Last updated
07/07/2026
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