Provider Demographics
NPI:1700240835
Name:BLANCHARD, TAMSIN (ARNP)
Entity type:Individual
Prefix:
First Name:TAMSIN
Middle Name:
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12920 US HIGHWAY 1 STE A
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3772
Mailing Address - Country:US
Mailing Address - Phone:772-388-8322
Mailing Address - Fax:772-388-8323
Practice Address - Street 1:12920 US HIGHWAY 1 STE A
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3772
Practice Address - Country:US
Practice Address - Phone:772-388-8322
Practice Address - Fax:772-388-8323
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9278271363LF0000X
FLAPRN9278271363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113387000Medicaid