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AMY BLEVINS FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1134602667
Individual Registrant: AMY BLEVINS FNP
Gender: F
Sole Proprietor
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: --
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: --
Tel: 415-497-5420 Fax: --
Registration Information:
NPI: 1134602667
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CA | 34814 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| OTHER | 00000 | 01 |
