Provider Demographics
NPI:1952369316
Name:BLANCHARD, JANET A (CNNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:A
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:CNNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:A
Other - Last Name:SCHAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNNP
Mailing Address - Street 1:2910 CENTRE POINTE DRIVE 35-121A
Mailing Address - Street 2:CHILDREN'S HEALTH CARE
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113
Mailing Address - Country:US
Mailing Address - Phone:651-855-2327
Mailing Address - Fax:651-855-2310
Practice Address - Street 1:347 NORTH SMITH AVENUE
Practice Address - Street 2:CHILDREN'S SPECIALTY CLINIC NICU
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-220-6210
Practice Address - Fax:651-220-7777
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR0954428363LN0000X, 363LN0005X
NDR19980363LN0005X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN497444100Medicaid
ND19776Medicaid