Individual
MRS. CANDI DENISE BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2055 US HWY 431, BOAZ, AL 35957
(256) 593-8310
Mailing address
2454 OAK DR, BOAZ, AL 35956-2405
(256) 593-1879
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-064377
AL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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