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AMY BLEVINS FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1134602667

Individual Registrant:
 AMY  BLEVINS FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
1300 S ELISEO DR STE 101  GREENBRAE, CA 94904-2014 US
Tel: 415-497-5420  Fax: --

Contact information for business:
1300 S ELISEO DR STE 101  GREENBRAE, CA 94904-2014 US
Tel: 415-497-5420  Fax: --

Registration Information:
NPI: 1134602667
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA34814

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OTHER0000001




HEALTH CARE JOBS CA - Page 1



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