Provider Demographics
NPI:1205534716
Name:BLOH, HELEN (KATEY) KATHLEEN (DNP, ACNP-AG, ACCNS)
Entity type:Individual
Prefix:MRS
First Name:HELEN (KATEY)
Middle Name:KATHLEEN
Last Name:BLOH
Suffix:
Gender:F
Credentials:DNP, ACNP-AG, ACCNS
Other - Prefix:MISS
Other - First Name:HELEN (KATEY)
Other - Middle Name:KATHLEEN
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, RN, CCRN
Mailing Address - Street 1:423 WILLOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8495
Mailing Address - Country:US
Mailing Address - Phone:301-503-1544
Mailing Address - Fax:
Practice Address - Street 1:423 WILLOW BEND DR
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-8495
Practice Address - Country:US
Practice Address - Phone:301-503-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR204903163WC0200X, 363LA2100X, 363LA2200X, 363L00000X
MDCS00201364S00000X, 364SA2100X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health