Ilene Blumenthal

Individual provider Active NPI Registered Nurse · Dresher, PA

NPI 1972020535 · NPPES record last updated Aug 24, 2017

Key facts

NPI
1972020535
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN523210L (PA)
Practice address
715 Twining Rd Ste 203
Dresher, PA 19025-1833
Phone
(215) 367-5611
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN523210LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baci Home Health Care LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN523210L PA Yes

Addresses

Primary practice location

715 Twining Rd Ste 203
Dresher, PA 19025-1833

Mailing address

715 Twining Rd Ste 203
Dresher, PA 19025-1833

Other providers in Dresher, PA

All providers in Dresher, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.