| Mrs Kathleen E Blaney, ARNP | |
|
128 Fig Tree Run, Longwood, FL 32750-4067 | |
| (321) 277-8832 | |
| Not Available |
| Full Name | Mrs Kathleen E Blaney |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 128 Fig Tree Run, Longwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730267675 | NPI | - | NPPES |
| ARNP2209342 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP2209342 (Florida) | Primary |
| Entity Name | Winter Park Family Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538619952 PECOS PAC ID: 5698058980 Enrollment ID: O20170213000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathleen E Blaney, ARNP 128 Fig Tree Run, Longwood, FL 32750-4067 Ph: Not Available | Mrs Kathleen E Blaney, ARNP 128 Fig Tree Run, Longwood, FL 32750-4067 Ph: (321) 277-8832 |
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