TERESA W BLANC FNP NPI 1972772317

NPI Information

NPI: 1972772317
Provider Name: TERESA W BLANC, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
336 DEERFIELD RD
WATAUGA MEDICAL CENTER
BOONE, NC
ZIP 28607
Phone: (828) 262-4100
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Teresa W Blanc, FNP is a family nurse practitioner in Boone, NC. Teresa W Blanc, FNP NPI is 1972772317. 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:

336 DEERFIELD RD
WATAUGA MEDICAL CENTER
BOONE, NC
ZIP 28607-008
Phone: (828) 262-4100
Fax: (828) 262-4103

The NPI 1972772317 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 2/28/2008 and was last updated on 8/12/2015.

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	363L00000X	Nurse Practitioner		117415	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	6298P	KENTUCKY	No
3	363LF0000X	Nurse Practitioner	Family	120564	NORTH CAROLINA	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
1	00748041	MEDICARE PIN	KENTUCKY
2	425203502	MEDICAID	MISSOURI
3	7100103230	MEDICAID	KENTUCKY

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: 4/28/2024

NPI Synchronization or Removal

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