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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: August 16, 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.

PHILIPPE OLIVIER SZAPARY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
UNIVERSITY OF PENNSYLVANIA
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-1828
CAREY MCDOUGALL M.S.
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2920
KELSEY ELIZABETH SPIELMAN
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8479
STEVEN S SCHERER MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606
KEITH CENGEL MD, PHD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN FRIEL MD
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-5042
RICHARD KRISKA
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Blanke's NPI number?

The NPI number for Mark Blanke is 1063083582. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Mark Blanke located?

Mark Blanke practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Mark Blanke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mark Blanke was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.