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Search › California › 363L00000X

Nancy Blacketer, FNP

NPI 1518152925 · on the registry since 2007 · sole proprietor

Practice

Address
3102 East Highland Ave
Patton, CA 92369
Phone
(909) 425-7000
Fax
(909) 425-7520
Organisation at this address
Patton State Hospital
Department Of State Hospitals
Inferred from a shared address, not stated in the registry.
Clinicians at this address
334

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-09-10

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 California