Individual
BLAKE U WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
533 W COLUMBIA ST, EVANSVILLE, IN 47710-1617
(812) 492-5202
(812) 450-8102
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28228600A
IN
363L00000X
Nurse Practitioner
Primary
71011518A
IN
Other
Enumeration date
08/11/2021
Last updated
09/17/2021
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