Blake Mcnamara Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · New Lenox, IL

NPI

1851153449

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

209029231 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2024-01-29

Last updated

2024-01-29