Provider Demographics
NPI:1962719435
Name:BLATZ, MEGAN J (CRNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:J
Last Name:BLATZ
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:PO BOX 829641
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-9641
Mailing Address - Country:US
Mailing Address - Phone:267-370-5296
Mailing Address - Fax:215-230-3725
Practice Address - Street 1:102 PROGRESS DR
Practice Address - Street 2:STE 101
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2516
Practice Address - Country:US
Practice Address - Phone:215-230-0600
Practice Address - Fax:215-230-7065
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2021-10-27
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Provider Licenses
StateLicense IDTaxonomies
PATP007015M363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner