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Organization
CAROL BLAKE, MSN, RN, CNS, CRNFA, CNOR, PC
Active
Organization
CAROL BLAKE, MSN, RN, CNS, CRNFA, CNOR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL BLAKE CNS, CRNFA (PRESIDENT)
(602) 971-8599
Entity
Organization
Contact information
Practice address
4091 E NISBET RD, PHOENIX, AZ 85032-4767
(602) 971-8588
(602) 971-3887
Mailing address
4091 E NISBET RD, PHOENIX, AZ 85032-4767
(602) 971-8588
(602) 971-3887
Taxonomy
Speciality
Code
Description
License number
State
364SP2800X
Perioperative Clinical Nurse Specialist
Primary
RN036821
AZ
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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