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Brittney Rose Blais

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

525 E Main St, El Cajon, CA 92020-4007

PECOS Enrollment

This provider is enrolled in PECOS as BRITTNEY BLAIS.

Based on the most recent information from CMS, provider Brittney Rose Blais is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1952852808
Provider Type
Individual
Full Name
Blais, Brittney Rose
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/16/2016
Last Updated
10/6/2022

Contact Information

Practice Location

525 E Main St, El Cajon, CA 92020-4007

(619) 515-2498

Unlisted Fax

Mailing Location

823 Gateway Center Way, San Diego, CA 92102-4541

(619) 515-2300

(619) 906-4564

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95014574 California

Brittney Rose Blais

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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