Matthew Ryan Blackert, FNP

NPI #1689264723 in Canal Fulton, Ohio

Provider Information

NPI Number
1689264723
Entity Type
Individual
Name
Matthew Ryan Blackert, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Jan 22, 2021
Last Updated
Jan 22, 2021

Practice Location

Address
6514 IVYHILL DR NW
State
Ohio
ZIP Code
44614-9432
Phone
(330) 703-0772

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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