Individual
MS. LAURA LYNN BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
2501 W WILLIAM CANNON DR BLDG 4, AUSTIN, TX 78745-5281
(512) 804-3200
Mailing address
2501 W WILLIAM CANNON DR BLDG 4, AUSTIN, TX 78745-5281
(512) 804-3200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP138320
TX
Other
Enumeration date
08/06/2018
Last updated
08/07/2023
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