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Shakuntala Blomquist
Family Nurse Practitioner in Ukiah, California
NPI 1114557345

Shakuntala Blomquist is a Family Nurse Practitioner based in Santa Rosa, CA and is specialized in Family. Shakuntala Blomquist practices in Ukiah, CA. The NPI Number for Shakuntala Blomquist is 1114557345 and holds a License No. 95012569 (California).

The current practice location address for Shakuntala Blomquist is 260 Hospital Dr, Ukiah, CA and can be reached out via phone at 707-463-8000.

Location: 260 Hospital Dr, Ukiah, CA, 95401-8417
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114557345
Provider Name
Shakuntala Blomquist
Credential
Provider Entity Type
Individual
Gender
Female
Address
260 Hospital Dr, Ukiah, CA, 95401-8417
Phone Number
707-463-8000
Fax Number
Provider Enumeration Date
01/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
260 Hospital Dr
City
Ukiah
State
California
Zip
95482-4568
Phone Number
707-463-8000
Fax Number
person
Provider Business Mailing Address Details
Address
260 Hospital Dr
City
Ukiah
State
California
Zip
95482-4568
Phone Number
707-463-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95012569 (California)
Definition
Definition to come...
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