Provider Demographics
NPI:1285227058
Name:RUFEN-BLANCHETTE, AUBREY CIERRA (NP)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:CIERRA
Last Name:RUFEN-BLANCHETTE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:CIERRA
Other - Last Name:ROYSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2200 COLORADO AVE APT 617
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-5529
Mailing Address - Country:US
Mailing Address - Phone:404-539-1895
Mailing Address - Fax:
Practice Address - Street 1:3921 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-2241
Practice Address - Country:US
Practice Address - Phone:646-650-5337
Practice Address - Fax:646-871-6820
Is Sole Proprietor?:No
Enumeration Date:2021-02-12
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704368581363LF0000X
CANP95020416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily