Individual
BLAKE ALBERT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP, FNP-C
Contact information
Practice address
1417 S PIONEER WAY, MOSES LAKE, WA 98837-2458
(509) 765-1856
(509) 766-5865
Mailing address
1417 S PIONEER WAY, MOSES LAKE, WA 98837-2458
(509) 765-1856
(509) 766-5865
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP70009044
WA
Other
Enumeration date
09/02/2025
Last updated
10/24/2025
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