PATRICIA JOAN BLANCK-MILLER (NPI# 1669030870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669030870 |
| Entity Type | Individual |
| Full Name | PATRICIA JOAN BLANCK-MILLER |
| Credential | NP |
| Practice Address |
14780 W Mountain View Blvd Surprise AZ 85374-4799 |
| Mailing Address |
14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 |
| Practice Telephone | 6233747774 |
| Practice Fax Number | 6237609042 |
| Mailing Telephone | 6233747774 |
| Mailing Fax Number | 8559591911 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
224793 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14780 W MOUNTAIN VIEW BLVD |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85374-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731937 | Karen Meyer | Physical Therapist | 14780 W Mountain View Blvd, Suite 109, Surprise, AZ 85374 | 2006-02-26 |
| 1891200143 | Thomas Hageman | Radiology | 14780 W Mountain View Blvd, Surprise, AZ 85374-4799 | 2017-12-08 |
| 1063921609 | Sylvia Anne Green | Social Worker | 14780 W Mountain View Blvd, Surprise, AZ 85374-4799 | 2017-09-27 |
| 1871031252 | Judy A. Neal | Nurse Practitioner | 14780 W Mountain View Blvd, Suite # 110, Surprise, AZ 85374-4799 | 2017-02-06 |
| 1538604707 | Md24 Az Doctors, Inc. | Clinical Nurse Specialist | 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374-4799 | 2016-12-27 |
| 1881143147 | Allied Interventional Center, LLC | Clinic/Center | 14780 W Mountain View Blvd, #120, Surprise, AZ 85374 | 2016-09-28 |
| 1073066841 | Sheila Cota | Nurse Practitioner | 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374-4799 | 2016-07-28 |
| 1407226285 | Josie Joy Balboa-azura | Nurse Practitioner | 14780 W Mountain View Blvd, 110, Surprise, AZ 85374-4799 | 2015-10-05 |
| 1700269115 | Jennifer Meghan Weitman | Nurse Practitioner | 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374-7280 | 2015-07-02 |
| 1295117224 | Elena Marie Baskas | Nurse Practitioner | 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374-4799 | 2015-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648801 | Jennilyn Joy Puhawan Cave | Emergency Medicine | 14440 W Tierra Buena Ln, Surprise, AZ 85374 | 2020-08-07 |
| 1912538497 | Dental Depot of Surprise, Pllc | Clinic/Center | 13828 W. Greenway Rd., Surprise, AZ 85374 | 2020-02-03 |
| 1447898622 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 16815 W. Bell Rd, Surprise, AZ 85374 | 2019-12-18 |
| 1073155834 | Regency Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W Mountain View Blvd, Surprise, AZ 85374 | 2019-10-14 |
| 1164064929 | Advanced Ambulatory Surgery Center One, LLC | Clinic/Center | 14753 W. Mountain View Blvd., Surprise, AZ 85374 | 2019-10-14 |
| 1275005308 | Filsan Ali | Nurse Practitioner | 14780 W Mountain View Blvd #109, Surprise, Az 85374, Surprise, AZ 85374 | 2018-12-31 |
| 1427528686 | Anna L Bell | Nurse Practitioner | 14811 W Bell Rd Ste 100, Surprise, AZ 85374 | 2018-11-30 |
| 1649755893 | Surprise Behavioral Hospital Lp | Psychiatric Hospital | 16561 North Parkview Place, Surprise, AZ 85374 | 2018-10-03 |
| 1336621259 | Chaparral Winds LLC | Assisted Living Facility | 16623 N West Point Parkway, Surprise, AZ 85374 | 2018-09-06 |
| 1104310648 | Austin Daniel Lau | Dentist | 17018 W Bell Rd, Surprise, AZ 85374 | 2018-06-19 |
| Find all providers in zip 85374 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427535582 | Crisanto Esguerra Melchor | Nurse Practitioner | 13476 N Founders Park Blvd, Surprise, AZ 85379-8147 | 2018-07-22 |
| 1306365770 | Christopher Albert Gard | Nurse Practitioner | 15643 W Cameron Dr, Surprise, AZ 85379 | 2017-09-16 |
| 1730548272 | Cassidy Jean Morales | Nurse Practitioner | 13654 N 151st Dr, Surprise, AZ 85379-9110 | 2016-02-11 |
| 1861730988 | Jane Mesiku Abucha | Nurse Practitioner | 12851 W Bell Rd Ste 126, Surprise, AZ 85378-9610 | 2013-01-24 |
| 1619213469 | Aaron Nichols | Nurse Practitioner | 14961 W Bell Rd #175, Surprise, AZ 85374-6003 | 2012-12-26 |
| 1063013605 | Ogechi Ann Ohia | Nurse Practitioner | 12361 W Bola Dr Ste 109, Surprise, AZ 85378-9021 | 2020-11-02 |
| 1679194153 | Christie Sibiga | Nurse Practitioner | 14961 W Bell Rd, Surprise, AZ 85374-3200 | 2020-05-06 |
| 1114582590 | Gregory David Mikut | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2019-05-01 |
| 1710464193 | Jocelyn S Zeng | Nurse Practitioner | 14780 W Mountain View Blvd Ste 110, Surprise, AZ 85374 | 2018-07-27 |
| 1891155875 | Edward W Vanwoesik | Nurse Practitioner | 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 | 2016-03-03 |
| Find all providers in SURPRISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.