Individual
BLAKE G PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1485 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-5100
Mailing address
PO BOX 2193, IDAHO FALLS, ID 83403-2193
(208) 552-8762
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA52
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063590107
—
ID
Enumeration date
11/02/2006
Last updated
09/19/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us