Individual
BETSY BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1737 CARRY PL, CROFTON, MD 21114-2324
(301) 751-3888
(301) 262-7383
Mailing address
PO BOX 465, LOTHIAN, MD 20711-0465
(301) 751-3888
(301) 262-7383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R097929
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53590002
CAREFIRST BCBS GHMS
DC
05
—
687602100
—
MD
Enumeration date
08/31/2005
Last updated
11/10/2010
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