Most Relevant Information
Provider Data
| NPI Number: | 1003582008 |
| Provider Name: | CAROLINE BLOSS CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | SP023408 |
Most Important Dates
| Enumeration Date: | 08/19/2021 |
| Last Updated: | 08/19/2021 |
Provider Practice Location
1701 W RITNER ST
PHILADELPHIA
PA
191454324
Practice Location Phone/Fax
| Phone: | 2153362145 |
| Fax: | 2153365732 |
Provider Mailing Location
1701 W RITNER ST
PHILADELPHIA
PA
191454324
Provider Mailing Phone/Fax
| Phone: | 2153362145 |
| Fax: | 2153365732 |