Individual
BLAKE PARKER HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1200 E UNIVERSITY BLVD, TUCSON, AZ 85721-0001
(520) 621-2211
Mailing address
10700 N LA RESERVE DR APT 10102, ORO VALLEY, AZ 85737-8765
(208) 871-3065
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
268926
AZ
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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