Standifer, Blake Wray

Standifer, Blake Wray is an individual health care provider with primary practice located at 411 Laurel St Ste A250 , Des Moines IA 50314-3029. He 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 / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Standifer, Blake Wray can be contacted via phone (515) 235-5000.

Contact Information

Primary practice address
411 Laurel St Ste A250 Des Moines IA 50314-3029
Phone: (515) 235-5000
Fax: (515) 288-6713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X H164471 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X H164471 Iowa

Profile Details

NPI number 1194398818
LBN Legal business name Standifer, Blake Wray
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2021
Last updated Oct 5th, 2021 - about 4 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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