Provider Demographics
NPI:1932156908
Name:BLANCHAT, NANCY ANN (MD)
Entity Type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:ANN
Last Name:BLANCHAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:BLANCHAT
Other - Last Name:POGGI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:DEPT OF EMERGENCY MEDICINE 929 N. ST- FRANCIS
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-2917
Mailing Address - Country:US
Mailing Address - Phone:316-268-5757
Mailing Address - Fax:610-834-2862
Practice Address - Street 1:3600 E HARRY ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-3713
Practice Address - Country:US
Practice Address - Phone:316-689-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-29592207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100421350CMedicaid
KS103433Medicare ID - Type Unspecified