Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loretta Blanchard, NP

Individual provider Nurse Practitioner · NPI 1104103613

Loretta Blanchard, NP is a Nurse Practitioner in Port Orange, Florida. Qualified in 2011, 15 years ago. Practices with Adventhealth Primary Care Network Inc, a 410-clinician group and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
15
Licensed in
FL, OH
In the registry since
2011
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5821 S Williamson Blvd Ste 204
Port Orange, FL 32128
Phone: (386) 231-6300
Fax: (386) 322-6165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11011984 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 12857-NP (OH)

Record details

NPI number1104103613
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 11, 2011
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Adventhealth Primary Care Network Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Orange