Individual
BLAKE DURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7710 MERCY RD DEPT OF, OMAHA, NE 68124-2372
(402) 717-0820
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP05733
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2022
Last updated
07/14/2025
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