Search › Pennsylvania › Psychiatric/Mental Health Nurse Practitioner
Bleck Exilus
NPI 1134935273 · on the registry since 2024 · sole proprietor
Practice
- Address
- 14-20 Macdade Blvd Ste A
Darby, PA 19023 - Phone
- (610) 522-4506
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania