MS. KELLY ANN BLANNER ACNP NPI 1114568821

NPI Information

NPI: 1114568821
Provider Name: MS. KELLY ANN BLANNER, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
11133 DUNN RD
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO
ZIP 63136
Phone: (800) 862-9980
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MS. Kelly Ann Blanner, ACNP is an acute care nurse practitioner in Saint Louis, MO with 5 years of experience. MS. Kelly Ann Blanner, ACNP NPI is 1114568821. 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:

11133 DUNN RD
DEPT ANESTHESIOLOGY
SAINT LOUIS, MO
ZIP 63136-163
Phone: (800) 862-9980
Fax: (314) 362-1185

The NPI 1114568821 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 11/15/2021.

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
1	363LA2100X	Nurse Practitioner	Acute Care	2019038323	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	420077120	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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