MARY KATHERINE BLEITNER NPI 1104691724

NPI Information

  • NPI: 1104691724
  • Provider Name: MARY KATHERINE BLEITNER
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 600 HIGH TECH DR
    GEORGETOWN, TX
    ZIP 78626
  • Phone: (512) 930-4776

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NPI Details

Mary Katherine Bleitner is a pediatrics nurse practitioner in Georgetown, TX. Mary Katherine Bleitner NPI is 1104691724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 HIGH TECH DR
GEORGETOWN, TX
ZIP 78626-185
Phone: (512) 930-4776

The enumeration date for this NPI number is 11/24/2023 and was last updated on 11/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics202326272MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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