WANDA IRENE BLATTER

KIDNEY CARE SPECIALISTS, LLC

Dr WANDA IRENE BLATTER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.

Contact

KIDNEY CARE SPECIALISTS, LLC

215 S ALLISON AVE
XENIA
OH
453853694

Tel: 9373762571

WANDA IRENE BLATTER Information

Npi 1487142600
Pac Id 6608130836
Professional Enrollment Id I20180515003142
Last Name BLATTER
First Name WANDA
Middle Name IRENE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KIDNEY CARE SPECIALISTS, LLC
Group Practice Pac Id 9931247574
Number Of Group Practice Members 6
Line 1 Street Address 215 S ALLISON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City XENIA
State OH
Zip Code 453853694
Phone Number 9373762571
Hospital Affiliation Ccn 1 360026
Hospital Affiliation Lbn 1 GREENE MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 360175
Hospital Affiliation Lbn 2 CLINTON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3 360133
Hospital Affiliation Lbn 3 GRANDVIEW AND SOUTHVIEW HOSPITALS
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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