MR. MICHAEL C BLANCHARD RN APNP NPI 1174922280

NPI Information

  • NPI: 1174922280
  • Provider Name: MR. MICHAEL C BLANCHARD, RN, APNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 AMERICAN AVE
    POB SUITE 403
    WAUKESHA, WI
    ZIP 53188
  • Phone: (262) 928-5973

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NPI Details

MR. Michael C Blanchard, RN, APNP is an acute care nurse practitioner in Waukesha, WI with 20 years of experience. MR. Michael C Blanchard, RN, APNP NPI is 1174922280. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

725 AMERICAN AVE
POB SUITE 403
WAUKESHA, WI
ZIP 53188-031
Phone: (262) 928-5973
Fax: (262) 549-0648

The NPI 1174922280 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 8/14/2014 and was last updated on 2/1/2016.

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
1363LA2100XNurse PractitionerAcute Care3973-33WISCONSINYes

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
1K400243178MEDICARE PINWISCONSIN

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: 3/30/2025

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