Individual
TERYNN ELIZABETH BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, BSN, RN, CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
124 E GATE CITY BLVD, GREENSBORO, NC 27406-1457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
267654
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6425
NC
Other
Enumeration date
03/16/2019
Last updated
10/29/2021
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