Provider Demographics
NPI:1528036548
Name:BLEDNICK, KATHRYN E (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:E
Last Name:BLEDNICK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:761 5TH AVE STE D
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4210
Mailing Address - Country:US
Mailing Address - Phone:717-261-1269
Mailing Address - Fax:717-261-0664
Practice Address - Street 1:761 5TH AVE STE D
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4210
Practice Address - Country:US
Practice Address - Phone:717-261-1269
Practice Address - Fax:717-261-0664
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP004266-B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS61832Medicare UPIN