Individual
JOANNAH BLUNTACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4135 RICHARD AVE STE 201, HERMANTOWN, MN 55811-2979
(612) 429-1011
(855) 631-0016
Mailing address
4135 RICHARD AVE STE 201, HERMANTOWN, MN 55811-2979
(612) 429-1011
(855) 631-0016
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4701
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP 3842
MN
Other
Enumeration date
04/17/2015
Last updated
06/06/2025
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