Gary Eldon Blunt, RN
Registered Nurse in North Hollywood, CA. Individual provider (NPI-1).
NPI number1013749837
StatusActive
Last updated in NPPESAug 19, 2024
Details
- NPI
- 1013749837
- Entity type
- Individual (NPI-1)
- Name
- Gary Eldon Blunt
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2024
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 818001 | CA | Yes |
| 163WH0200X | Registered Nurse, Home Health | 818001 | CA | |
| 163WH1000X | Registered Nurse, Hospice | 818001 | CA |
Practice location
5121 Klump Ave Apt 214North Hollywood, CA 91601-4904
Phone 424-731-2249 · Fax 562-402-3336
Mailing address
5315 Torrance Blvd Ste B1Torrance, CA 90503-4011
Phone 800-829-8660 · Fax 562-402-3336
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