Shawn C Blake, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Cresco, IA

NPI

1821475849

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

D116603 (IA)

Sex

Male

Sole proprietor

No

Enumerated

2015-04-28

Last updated

2023-11-09