Individual
CANDACE H. BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1100
Mailing address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
35896
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066118000
—
WV
Enumeration date
07/26/2006
Last updated
09/15/2014
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