Individual
GINGER R BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
401 S. MAIN ST, DEER PARK, WA 99006
(509) 434-0292
(509) 444-7806
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN000163401
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30007280
WA
Other
Enumeration date
08/20/2006
Last updated
12/07/2022
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