Organization
BLAKES ANESTHESIA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL YVETTE BLAKE CRNA (PRESIDENT)
(215) 681-8661
Entity
Organization
Contact information
Practice address
2115 E 7TH ST STE 102, CHARLOTTE, NC 28204-3300
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/24/2019
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