Individual
BRENDA L BLYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION 4TH FLOOR, PHILADELPHIA, PA 19104-5127
(215) 662-2300
(215) 614-0418
Mailing address
3400 CIVIC CENTER BLVD, WEST PAVILION 4TH FLOOR, PHILADELPHIA, PA 19104-5127
(215) 662-2300
(215) 614-0418
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP008805
PA
Other
Enumeration date
05/26/2006
Last updated
10/04/2012
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