Provider Demographics
NPI:1043007644
Name:ABREU BLANCO, KAROLYN GLORIMAR (FNP-BC)
Entity type:Individual
Prefix:
First Name:KAROLYN
Middle Name:GLORIMAR
Last Name:ABREU BLANCO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380R MERRIMACK ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5884
Mailing Address - Country:US
Mailing Address - Phone:978-687-6355
Mailing Address - Fax:
Practice Address - Street 1:41 PHILLIPS ST APT 3
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1870
Practice Address - Country:US
Practice Address - Phone:978-943-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2356162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily