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MARK N BLANKE CRNP
NPI 1063083582
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since July 06, 2021
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1000 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark N Blanke Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK N BLANKE CRNP (NPI 1063083582) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP023534) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1063083582
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameMARK N BLANKECredential: CRNP
Location Address3400 CIVIC CENTER BLVDPhiladelphia, PA 19104-5127
Mailing Address3400 Civic Center BlvdPhiladelphia, PA 19104-5127 · (215) 590-1000
Phone(215) 590-1000
Sole ProprietorYes
Enumeration DateJuly 6, 2021
NPPES CertifiedJuly 6, 2021
✔ NPI 1063083582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in PA · SP023534
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 2

OtherSP023534PA · Certified Registered Nurse Practitioner - Pennsylvania State Board Of Nursing
OtherNPPA045761PA · Prescriptive Authority - Pennsylvania State Board Of Nursing

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDA MARGUERITA MILLER RN CRNP
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, ENT DEPT FIRST FLOOR WOOD BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3440
BELINDA K BIRNBAUM MD
Internal Medicine (Rheumatology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2454
MR. STEPHEN HARVIE WALKER CRNP
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-5248
MRS. JENNIFER M SIEGLE RN, CPNP
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, 5TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4075
MRS. JULIE R CHIAPPA CPNP
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
MICHAEL DONAHUE C.R.N.P.
Nurse Practitioner
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-3749
MS. MONICA E. CHURCH CRNP
Nurse Practitioner (Family)
3400 CIVIC CENTER BLVD, 5 WOOD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1346
NOREEN MCDANIEL-YAKSCOE MSN,CRNP
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7099

Frequently Asked Questions

What is Mark Blanke's NPI number?

The NPI number assigned to this healthcare provider is 1063083582, enumerated as an "individual" on July 06, 2021.

Where is the provider located?

The provider is located at 3400 CIVIC CENTER BLVD PHILADELPHIA, PA 19104 and the phone number is (215) 590-1000.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

What insurance does Mark Blanke accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.