Individual
ANITA MARIE BLATNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
UT STUDENT HEALTH CTR, 1800 VOLUNTEER BLVD, KNOXVILLE, TN 37996-0001
(865) 974-5066
(865) 974-5205
Mailing address
239 WILSON AVE, MARYVILLE, TN 37804
(865) 983-5266
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN97696
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
APN6871
TN
Other
Enumeration date
10/03/2006
Last updated
09/04/2012
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