Individual
ALISON A BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Mailing address
143 W FRANKLIN ST, SUITE #600, CHAPEL HILL, NC 27516-2539
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
5004589
NC
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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