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MAUREEN BLOMQUIST NP

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

Registrant NPI Number: 1275949174

Individual Registrant:
 MAUREEN  BLOMQUIST NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
155 15TH ST STE A  WEST SACRAMENTO, CA 95691-3737 US
Tel: 855-354-2242  Fax: --

Contact information for business:
1860 HOWE AVE STE 440  SACRAMENTO, CA 95825-1098 US
Tel: 916-569-8484  Fax: --

Registration Information:
NPI: 1275949174
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics
UT174749-4405
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95007153

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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