Individual provider · Type 1 NPI
Mildred A. Blandamer, FAMILY PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · San Francisco, CA
NPI number
1932420239
Active
Practice location
Brightside Health Telepsychiatry, 2261 Market Street, Suite 10222
San Francisco, CA 94114
Fax (918) 762-6646
Mailing address
8108 E Norman St
Broken Arrow, OK 74014-7414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5400 (MN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 34370 (OK) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 34334 (AL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4405 (UT) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 154915 (MT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1932420239
Mildred A. Blandamer, FAMILY PMHNP-BC's National Provider Identifier is 1932420239, issued on Jun 21, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Francisco, CA. The record was last updated on Jan 21, 2025.