MS. MARYELLEN BLANK, NP
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1609930015
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinical Nurse Specialist - Psychiatric/Mental Health, Adult | 364SP0809X | No | 400620 (NY) |
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | F400620-01 (NY) |
Frequently Asked Questions
NPI 1609930015 is the National Provider Identifier for MS. MARYELLEN BLANK, NP, a Nurse Practitioner - Psychiatric/Mental Health provider located in Bay Shore, NY. This NPI was enumerated on December 20, 2006.
MS. MARYELLEN BLANK, NP practices at 21 4TH AVE, Bay Shore, NY 11706.
Quick Facts
- NPI
- 1609930015
- Type
- Individual
- Enumerated
- Dec 20, 2006
- Last Updated
- Oct 17, 2024
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