Blake, Carol

Blake, Carol is an sole proprietor health care provider with primary practice located at 4091 E Nisbet Rd , Phoenix AZ 85032-4767. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Blake, Carol can be contacted via phone (602) 971-8599.

Contact Information

Primary practice address
4091 E Nisbet Rd Phoenix AZ 85032-4767
Phone: (602) 971-8599
Fax: (602) 971-3887
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 023 Arizona

Profile Details

NPI number 1710926530
LBN Legal business name Blake, Carol
Credentials MSN, RN, CNS, CRNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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