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Contact Information

TERESSA BLANCHARD
1865 TAMARACK RD
NEWARK, OH43055
 Phone: 220-564-4934
 Fax: 220-564-4944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TERESSA BLANCHARD · (Female)

NPI Number 1659721579
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2016
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.19268
  • OH License # COA.19268-NP
  • OH Medicaid 0177111
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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