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

Avi Blumenthal, FNP

Individual provider Family Nurse Practitioner · NPI 1407447444

Avi Blumenthal, FNP is a Nurse Practitioner in Rockville, Maryland. Qualified in 2020, 6 years ago. Practices with Mnr Industries, LLC, a 143-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1235 Potomac Valley Rd
Rockville, MD 20850-2757
Phone: (443) 929-1569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9701 Medical Center Dr, Rockville, MD 20850-3326 — (443) 929-1569

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R215110 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence R215110 (MD)

Record details

NPI number1407447444
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 2, 2021
Last updated in NPPESFebruary 2, 2021
Certification dateJanuary 31, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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