Michelle Nakano Blade
Peer Specialist in Redwood City, CA. Individual provider (NPI-1).
NPI number1619620234
StatusActive
Last updated in NPPESApr 21, 2023
Details
- NPI
- 1619620234
- Entity type
- Individual (NPI-1)
- Name
- Michelle Nakano Blade
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2022
- Certification date
- Apr 21, 2023
- Last updated
- Apr 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-FRZPWY | CA | Yes |
| 175T00000X | Peer Specialist | – | – | |
| 172V00000X | Community Health Worker | – | – |
Practice location
802 Brewster AveRedwood City, CA 94063-1510
Phone 650-363-4111
Mailing address
802 Brewster AveRedwood City, CA 94063-1510
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All 38 Peer Specialist providers in Redwood City · All 3,308 providers in Redwood City
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