Blake, Mandy
Blake, Mandy is an individual health care provider with primary practice located at 129 Woodson St , Salisbury NC 28144-3255. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Blake, Mandy can be contacted via phone (704) 636-5576.Contact Information
Primary practice address
129 Woodson St
Salisbury NC 28144-3255
Phone: (704) 636-5576
Fax: (704) 216-2011
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5006329 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 5006329 | North Carolina |
Profile Details
NPI number | 1114359726 |
---|---|
LBN Legal business name | Blake, Mandy |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 6th, 2013 |
Last updated | Aug 6th, 2013 - about 11 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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