| Bleck Exilus, | |
|
14-20 Macdade Blvd Ste A, Darby, PA 19023-1822 | |
| (610) 522-4506 | |
| Not Available |
| Full Name | Bleck Exilus |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 14-20 Macdade Blvd Ste A, Darby, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134935273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP031538 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bleck Exilus, 14-20 Macdade Blvd Ste A, Darby, PA 19023-1822 Ph: (610) 522-4506 | Bleck Exilus, 14-20 Macdade Blvd Ste A, Darby, PA 19023-1822 Ph: (610) 522-4506 |
Tristin Cadle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1501 Lansdowne Ave Fl 1, Darby, PA 19023 Phone: 610-534-6270 | |
Ms. Christine Yvonne Smith, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1503 Lansdowne Ave Ste 3002, Darby, PA 19023 Phone: 610-237-4995 | |
Jennifer Elizabeth Laviola, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1503 Lansdowne Ave Ste 3002, Darby, PA 19023 Phone: 610-237-4995 | |
Ms. Josephine Larmena, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1009 School St, Darby, PA 19023 Phone: 215-939-0522 | |
Pamela Rowland, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1503 Lansdowne Ave, Ste 3001, Darby, PA 19023 Phone: 610-586-4100 Fax: 610-586-4114 | |
Margaret Joan Fagan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1503 Lansdowne Ave, Suite 3002, Darby, PA 19023 Phone: 610-237-4973 Fax: 610-237-7311 |