Provider Demographics
NPI:1780835108
Name:NAVARRO, BLANCA P (NP)
Entity Type:Individual
Prefix:MS
First Name:BLANCA
Middle Name:P
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 W 177TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-4306
Mailing Address - Country:US
Mailing Address - Phone:310-344-0541
Mailing Address - Fax:
Practice Address - Street 1:23517 MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-5251
Practice Address - Country:US
Practice Address - Phone:310-834-5388
Practice Address - Fax:310-834-5619
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18209163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology