Individual
MS. NANCY CAMILLE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
202 WOODHAVEN RD, GREENVILLE, NC 27834-6920
(252) 258-6420
Mailing address
202 WOODHAVEN RD, GREENVILLE, NC 27834-6920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169935
VA
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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