Provider Demographics
NPI:1811551435
Name:BLANKENSHIP, STEPHANIE MICHELLE (APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:MICHELLE
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
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Mailing Address - Street 1:55 ARCH ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1423
Mailing Address - Country:US
Mailing Address - Phone:330-535-1536
Mailing Address - Fax:330-375-6917
Practice Address - Street 1:55 ARCH ST STE 2A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1423
Practice Address - Country:US
Practice Address - Phone:330-535-1536
Practice Address - Fax:330-375-6917
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024268363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily