NPI

Nicole Ivett Blanco

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
APRN-CNP
Type
Individual
Enumeration date
2023-03-08
Last updated
2025-04-01

Specialties

Licenses

License TX
1110090
License TX
1110090

Location

Practice location
3505 Center St
City
Deer Park TX
Postal code
77536-5078
Phone
(866) 389-2727

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Deer Park, TX. 289 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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