Deandra Dion Blanco

Nurse Practitioner · Boynton Beach, FL

Individual Active NPI

NPI number 1104615558

Practice location

10710 Grande Palladium Way
Boynton Beach, FL 33436-5063
Phone
(786) 238-6703

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NPI record

NPI
1104615558
Entity type
Individual (Type 1)
Enumeration date
May 2, 2025
Last updated
May 2, 2025
Certified
May 2, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 110337825 FL

About Deandra Blanco

Deandra Dion Blanco is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 10710 Grande Palladium Way, Boynton Beach, FL 33436-5063. The NPI number 1104615558 was assigned on May 2, 2025 and the record was last updated on May 2, 2025.

Deandra Blanco lists a license in the registry: #110337825 (FL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deandra Dion Blanco?

The NPI number is 1104615558.

What is the phone number of Deandra Blanco?

The phone number listed for the practice location is (786) 238-6703.

Where is Deandra Blanco located?

10710 Grande Palladium Way, Boynton Beach, FL 33436-5063.

What is the taxonomy code for Deandra Blanco?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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