Individual
BLAKE TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
318 PRINCESS PL, MORRISVILLE, NC 27560-5211
(704) 840-5847
Mailing address
318 PRINCESS PL, MORRISVILLE, NC 27560-5211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
5510
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6720
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
03/24/2025
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