Bleck Exilus
Bleck Exilus is a Nurse Practitioner in Darby, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Damian Family Care Centers, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 3
- Licensed in
- PA
- In the registry since
- 2024
Practice location Address checks out
14-20 Macdade Blvd Ste ADarby, PA 19023-1822
Phone: (610) 522-4506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence SP031538 (PA) |
|---|
Record details
| NPI number | 1134935273 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2024 |
| Last updated in NPPES | December 4, 2024 |
| Certification date | December 4, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Damian Family Care Centers, Inc. — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Darby
-
Dr. Cedonnie Amoy Curtis
213 Chestnut St, Darby, PA 19023-2922 · (610) 607-7258
-
Miki Suk Hwang, PMHNP
1500 Lansdowne Ave, Darby, PA 19023-1200 · (610) 237-4122