Individual provider · NPI-1

Blanca E Avila, NP

Nurse Practitioner, Family · Sacramento, CA

NPI number1003524893
StatusActive
Last updated in NPPESJun 27, 2025

Details

NPI
1003524893
Entity type
Individual (NPI-1)
Name
Blanca E Avila
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 9, 2022
Certification date
Jun 27, 2025
Last updated
Jun 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95022845CAYes
163WG0000X Registered Nurse, General Practice860482NV

Practice location

2 Scripps Dr Ste 302
Sacramento, CA 95825-6207

Phone 714-472-7942

Mailing address

1164 Formby Way
Roseville, CA 95747-6456

Phone 714-472-7942

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