MS. SHIRLEY R BLAKE M.S.
NPI 1467988360
Specialist in Bristol, VA
Active since May 11, 2017
About Ms. Shirley R Blake M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHIRLEY R BLAKE M.S. (NPI 1467988360) is an individual specialist in Bristol, Virginia, licensed in Virginia (PGP-127280) and active in the NPI registry since May 2017.
NPPES Registry Identity
NPI1467988360
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. SHIRLEY R BLAKECredential: M.S.
Location Address24063 HIGHPOINT RDBristol, VA 24202-4707
Mailing Address24063 Highpoint RdBristol, VA 24202-4707 · (276) 971-0079 · Fax (276) 591-5353
Phone(276) 971-0079
Fax(276) 591-5353
Sole ProprietorYes
Enumeration DateMay 11, 2017
✔ NPI 1467988360 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · PGP-127280
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInterpreterTaxonomy 171R00000X
Also ListedPrevention ProfessionalTaxonomy 405300000X · License 10,545 (VA)
24063 HIGHPOINT RD, Bristol, VA 24202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467988360, enumerated as an "individual" on May 11, 2017.
The provider is located at 24063 HIGHPOINT RD BRISTOL, VA 24202 and the phone number is (276) 971-0079.
Specialist with taxonomy code 174400000X.
