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NPI Code Detail

MEDICARE: ELIZABETH MATUSEK-BLEECKER RN, PHN

MEDICARE:   ELIZABETH  MATUSEK-BLEECKER  RN, PHN
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
1163W00000XRegistered Nurse95210644CA

General Provider Information

NPI Number : 1467315424
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MATUSEK-BLEECKER RN, PHN
Provider Business Mailing Address
First Line : 313 HEARST AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94112-1348
Country : US
Telephone Number : 415-609-2639
Fax Number :
Provider Business Practice Location Address
First Line : 313 HEARST AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94112-1348
Country : US
Telephone Number : 415-609-2639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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