Provider Demographics
NPI:1043007644
Name:ABREU BLANCO, KAROLYN GLORIMAR (FNP-BC)
Entity type:Individual
Prefix:
First Name:KAROLYN
Middle Name:GLORIMAR
Last Name:ABREU BLANCO
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 PHILLIPS ST APT 3
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1870
Mailing Address - Country:US
Mailing Address - Phone:978-943-0933
Mailing Address - Fax:
Practice Address - Street 1:41 PHILLIPS ST APT 3
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1870
Practice Address - Country:US
Practice Address - Phone:978-943-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2356162163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical