Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | VP004291M | PA |
NPI | 1043470198 |
---|---|
Provider Name | Beth Renee Blinn |
First Address | Pittsburgh, PA 15238-1426 |
Second Address | Pittsburgh, PA 15224-1778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 12/10/2020 |