Provider Demographics
NPI:1659558948
Name:BLAUFARB, PAMELA LEMMON (NP)
Entity Type:Individual
Prefix:MISS
First Name:PAMELA
Middle Name:LEMMON
Last Name:BLAUFARB
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 SAN PABLO AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1127
Mailing Address - Country:US
Mailing Address - Phone:415-272-2058
Mailing Address - Fax:510-525-9020
Practice Address - Street 1:500 SAN PABLO AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1127
Practice Address - Country:US
Practice Address - Phone:415-272-2058
Practice Address - Fax:510-525-9020
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17956363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily