TERESA W BLANC FNP NPI 1972772317

NPI Information

  • NPI: 1972772317
  • Provider Name: TERESA W BLANC, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 336 DEERFIELD RD
    WATAUGA MEDICAL CENTER
    BOONE, NC
    ZIP 28607
  • Phone: (828) 262-4100

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NPI Details

Teresa W Blanc, FNP is a family nurse practitioner in Boone, NC. Teresa W Blanc, FNP NPI is 1972772317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

336 DEERFIELD RD
WATAUGA MEDICAL CENTER
BOONE, NC
ZIP 28607-008
Phone: (828) 262-4100
Fax: (828) 262-4103

The NPI 1972772317 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 8/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner117415MISSOURINo
2363LF0000XNurse PractitionerFamily6298PKENTUCKYNo
3363LF0000XNurse PractitionerFamily120564NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100748041MEDICARE PINKENTUCKY
2425203502MEDICAIDMISSOURI
37100103230MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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