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Blanca E Avila, NP
Family Nurse Practitioner in Roseville, California
NPI 1003524893

Blanca E Avila is a Family Nurse Practitioner based in Roseville, CA and is specialized in Family. Blanca E Avila practices in Roseville, CA and has the professional credentials of NP. The NPI Number for Blanca E Avila is 1003524893 and holds a License No. 860482 (California).

The current practice location address for Blanca E Avila is 106 Church St Ste 1, Roseville, CA and can be reached out via phone at 714-472-7942.

Location: 106 Church St Ste 1, Roseville, CA, 95747-6456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003524893
Provider Name
Blanca E Avila
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
106 Church St Ste 1, Roseville, CA, 95747-6456
Phone Number
714-472-7942
Fax Number
Provider Enumeration Date
11/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 Church St Ste 1
City
Roseville
State
California
Zip
95678-2233
Phone Number
714-472-7942
Fax Number
person
Provider Business Mailing Address Details
Address
106 Church St Ste 1
City
Roseville
State
California
Zip
95678-2233
Phone Number
714-472-7942
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
95022845 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
860482 (Nevada)
Definition
Definition to come...
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