AMANDA MARIA BLIZARD
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1720642234- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 191044319
- Phone
- (215) 590-1000
Specialties & Taxonomies
Registered Nurse
Primary License: PA #699773
Nurse Practitioner, Pediatrics
License: DE #lj0000359
Nurse Practitioner, Pediatrics
License: NJ #26nj00921400
Nurse Practitioner, Pediatrics
License: PA #SP020379