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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