Provider Demographics
NPI:1184061236
Name:CASAS, BLANCA ESTELLA (RN)
Entity type:Individual
Prefix:MRS
First Name:BLANCA
Middle Name:ESTELLA
Last Name:CASAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 CONROY LN STE 301
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4154
Mailing Address - Country:US
Mailing Address - Phone:916-784-6472
Mailing Address - Fax:916-784-6464
Practice Address - Street 1:1130 CONROY LN STE 301
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4154
Practice Address - Country:US
Practice Address - Phone:916-784-6472
Practice Address - Fax:916-784-6464
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA535877163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health