Provider Demographics
NPI:1891053211
Name:AFOLABI, BLANCHE (NP)
Entity type:Individual
Prefix:
First Name:BLANCHE
Middle Name:
Last Name:AFOLABI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PENN ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1928
Mailing Address - Country:US
Mailing Address - Phone:717-969-8400
Mailing Address - Fax:
Practice Address - Street 1:120 PENN ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1928
Practice Address - Country:US
Practice Address - Phone:717-969-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2025-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR199835363LP0808X
DEL8-0010913363LP0808X
PASP030413363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health