Angela D Blain, CRNP
Nurse Practitioner in Gettysburg, PA. Individual provider (NPI-1).
NPI number1366049751
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1366049751
- Entity type
- Individual (NPI-1)
- Name
- Angela D Blain
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2020
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN527618l | PA | Yes |
Practice location
147 Gettys StGettysburg, PA 17325-2534
Phone 717-338-4525
Mailing address
3421 Concord RdYork, PA 17402-9001
Phone 717-851-1405
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