IndividualActive
Mirtha Blanco, APRN
NPI 1104605625 · Family Nurse Practitioner · Freeport, FL
Provider details
- NPI number
- 1104605625
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 11028794 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
20 Eagles Nest Dr
Freeport, FL 32439-2398
Phone: (808) 393-8510
Approximate (ZIP-level) locationGet directions
Mailing address
20 Eagles Nest Dr
Freeport, FL 32439-2398
Registry dates
- Enumerated
- 2023-09-25
- Last updated
- 2023-09-25
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.