Blake, Elizabeth Miyu

Blake, Elizabeth Miyu is an individual health care provider with primary practice located at 301 N 10Th Ave , Pasco WA 99301-5480. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blake, Elizabeth Miyu can be contacted via phone (509) 547-2429.

Contact Information

Primary practice address
301 N 10Th Ave Pasco WA 99301-5480
Phone: (509) 547-2429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN00118189 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30003638 Washington

Profile Details

NPI number 1639103237
LBN Legal business name Blake, Elizabeth Miyu
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639103237 NPPES
Washington Other AP30003638 ARNP LICENSE
Washington MEDICAID 9620097 ARNP LICENSE
Washington Other RN00118189 ARNP LICENSE

Popular Providers