Blevins, Amy
Blevins, Amy is an sole proprietor health care provider with primary practice located at 1300 S Eliseo Dr Ste 101 , Greenbrae CA 94904-2014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blevins, Amy can be contacted via phone (415) 497-5420.Contact Information
Primary practice address
1300 S Eliseo Dr Ste 101
Greenbrae CA 94904-2014
Phone: (415) 497-5420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 34814 | California |
Profile Details
| NPI number | 1134602667 |
|---|---|
| LBN Legal business name | Blevins, Amy |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2018 |
| Last updated | Sep 11th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134602667 | NPPES |
| Other | 00000 | OTHER |
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