Pena, Blanca Olivia

Pena, Blanca Olivia is an individual health care provider with primary practice located at 2700 N 140Th Ave Ste 107 , Goodyear AZ 85395-2439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pena, Blanca Olivia can be contacted via phone (623) 535-8770.

Contact Information

Primary practice address
2700 N 140Th Ave Ste 107 Goodyear AZ 85395-2439
Phone: (623) 535-8770
Fax: (623) 535-8771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2013-0061 New Mexico

Profile Details

NPI number 1346675170
LBN Legal business name Pena, Blanca Olivia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2013
Last updated Oct 28th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346675170 NPPES
Arizona MEDICAID 080389

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