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Individual

AMY C BLAKEY

Active
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Individual

AMY C BLAKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

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
07/13/2026
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