Provider Demographics
NPI:1093986739
Name:BLUMENSTEIN, MARILYN SLAVIN (CRNP)
Entity Type:Individual
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First Name:MARILYN
Middle Name:SLAVIN
Last Name:BLUMENSTEIN
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:34TH STREET AND CIVIC CENTER BLVD
Mailing Address - Street 2:4TH FLOOR CHILDREN'S SEASHORE HOUSE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4399
Mailing Address - Country:US
Mailing Address - Phone:215-590-3058
Mailing Address - Fax:267-426-2275
Practice Address - Street 1:34TH STREET AND CIVIC CENTER BLVD.
Practice Address - Street 2:4TH FLOOR CHILDREN'S SEASHORE HOUSE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:215-590-3058
Practice Address - Fax:267-426-2275
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
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Provider Licenses
StateLicense IDTaxonomies
PASP009656363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics