Organization
PSYCHIATRIC NURSING PRESCRIBER
Active
Other names
Personal Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BLAKESLEY PMHNP (PMHNP)
(415) 605-5760
Entity
Organization
Contact information
Practice address
1 SANSOME ST FL 35, SAN FRANCISCO, CA 94104-4436
(415) 605-5760
Mailing address
836 SOUTHAMPTON ROAD, STE B #115, BENICIA, CA 94510
(415) 605-5760
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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