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NPI Code Detail

MEDICARE: AUBREY CIERRA RUFEN-BLANCHETTE NP

MEDICARE: AUBREY CIERRA RUFEN-BLANCHETTE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704368581MI
2363LF0000XFamily Nurse PractitionerNP95020416CA

General Provider Information

NPI Number : 1285227058
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREY CIERRA RUFEN-BLANCHETTE NP
Provider Business Mailing Address
First Line : 2200 COLORADO AVE APT 617
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-5529
Country : US
Telephone Number : 404-539-1895
Fax Number :
Provider Business Practice Location Address
First Line : 3921 W SUNSET BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-2241
Country : US
Telephone Number : 646-650-5337
Fax Number : 646-871-6820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2021
Last Update Date : 03/27/2025

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