Individual
AMY C BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9000
Mailing address
1810 W 45TH ST, RICHMOND, VA 23225-3202
(252) 289-6870
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172418
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172418
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09462
GROUP PTAN
VA
Enumeration date
02/19/2015
Last updated
01/26/2022
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