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MS. MIRTHA LIDIA BLANCO APRN
NPI 1104605625
Nurse Practitioner - Family in Freeport, FL

Active since September 25, 2023
20 EAGLES NEST DR, FREEPORT, FL 32439(808) 393-8510 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mirtha Lidia Blanco Aprn NPPES

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

MS. MIRTHA LIDIA BLANCO APRN (NPI 1104605625) is an individual family provider in Freeport, Florida, licensed in Florida (11028794) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1104605625
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MIRTHA LIDIA BLANCOCredential: APRN
Location Address20 EAGLES NEST DRFreeport, FL 32439-2398
Mailing Address20 Eagles Nest DrFreeport, FL 32439-2398 · (808) 393-8510
Phone(808) 393-8510
Sole ProprietorNo
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1104605625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11028794
20 EAGLES NEST DR, Freeport, FL 32439
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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 Mirtha Blanco's NPI number?

The NPI number for Mirtha Blanco is 1104605625. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Mirtha Blanco located?

Mirtha Blanco practices at 20 Eagles Nest Dr, Freeport, FL 32439. The listed phone number is (808) 393-8510.

What is Mirtha Blanco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mirtha Blanco was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.