Lorraine Claudia Blagman, CRNP FAMILY HEALTH
Individual provider Active NPI Family Nurse Practitioner · Brookhaven, PA
NPI 1215297239 · NPPES record last updated May 23, 2012
Key facts
- NPI
- 1215297239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- TP004035B (PA)
- Practice address
- 4021 Woodworth Rd
Brookhaven, PA 19015-1913 - Phone
- (610) 872-6798
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP004035B | PA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TP004035B | PA | Yes |
Addresses
Primary practice location
4021 Woodworth Rd
Brookhaven, PA 19015-1913
Mailing address
4021 Woodworth Rd
Brookhaven, PA 19015-1913
Phone (610) 872-6798
Other providers in Brookhaven, PA
- Asa Caregiving Agency LLC
- Ana Beard
- Behavioral Care Experts LLC
- Kimberly Behling
- David Lionel Berman
- Richard Francis Blonski
- Marjorie G. Bowen
- Brookhaven Family Dentistry
- Brookhaven Family Eye Care Center
- Brookhaven Fire Company
All providers in Brookhaven, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.