Myra Blazo Familara, is a
Registered Nurse based in La Crescenta, California. Myra Blazo Familara is licensed to practice in California (license number 95061272) and her current practice location is
3050 Montrose Ave, La Crescenta, California. She can be reached at her office (for appointments etc.) via phone at
(818) 957-0850.
NPI number for Myra Blazo Familara is 1952806705 and her current mailing address is 7345 Woodland Dr, Indianapolis, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952806705.
Provider's Profile
| Full Name | Myra Blazo Familara |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
|---|
| Location | 3050 Montrose Ave, La Crescenta, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952806705
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 03/26/2018
Medical Identifiers
Medical identifiers for Myra Blazo Familara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952806705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 95061272 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Myra Blazo Familara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Myra Blazo Familara,
7345 Woodland Dr,
Indianapolis, IN 46278-1737
Ph: (317) 286-2885 | Myra Blazo Familara,
3050 Montrose Ave,
La Crescenta, CA 91214-3619
Ph: (818) 957-0850 |
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