National Provider Identifier

Leo Raphael Blatz, R.N.

Leo Raphael Blatz, R.N. is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in Tonawanda, NY and a listed phone number of (668) 633-3700.

NPI 1427758242Tonawanda, NYPsychiatric/Mental Health Registered Nurse

Profile Overview

NPI
1427758242
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Registered Nurse
Enumeration Date
March 09, 2023
Last Updated
March 09, 2023

Practice Location

  • 2829 Sheridan Dr
  • Tonawanda, NY 14150-9420

Phone: (668) 633-3700

Specialties

  • Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
NPI
1427758242
Entity Type
Individual
Last Name
Blatz
First Name
Leo
Middle Name
Raphael
Name Prefix
Mr.
Credential
R.N.
Mailing Street Address
2829 Sheridan Dr
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-9420
Mailing Country
US
Mailing Phone
(668) 633-3700
Mailing Fax
(877) 375-2450
Practice Street Address
2829 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-9420
Practice Country
US
Practice Phone
(668) 633-3700
Practice Fax
(877) 375-2450
Enumeration Date
March 09, 2023
Last Updated
March 09, 2023
Sex
Male
Sole Proprietor
No
Certification Date
March 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Registered Nurse (163WP0808X)