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
Mailing address5821 S Williamson Blvd Ste 204, Port Orange, FL 32128-6102

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