Bleck Exilus
NPI #1134935273 in Darby, Pennsylvania
Provider Information
- NPI Number
- 1134935273
- Entity Type
- Individual
- Name
- Bleck Exilus
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Dec 4, 2024
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 14-20 MACDADE BLVD STE A
- City
- Darby
- State
- Pennsylvania
- ZIP Code
- 19023-1822
- Phone
- (610) 522-4506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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