Blakely, Cloyce Elizabeth

Blakely, Cloyce Elizabeth is an individual health care provider with primary practice located at 201 Cedar St Se Ste 5660 , Albuquerque NM 87106-4920. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Blakely, Cloyce Elizabeth can be contacted via phone (505) 563-6565.

Contact Information

Primary practice address
201 Cedar St Se Ste 5660 Albuquerque NM 87106-4920
Phone: (505) 563-6565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA175856 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA175856 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2016-0015 New Mexico

Profile Details

NPI number 1184087744
LBN Legal business name Blakely, Cloyce Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2016
Last updated May 13th, 2019 - about 7 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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