| NPI | 1770456014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE BLAUSER President 510-399-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-10-20 |