Blackley, Montana N

Blackley, Montana N is an individual health care provider with primary practice located at 209 Lilly Rd Ne , Olympia WA 98506-5030. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Blackley, Montana N can be contacted via phone (360) 413-8250.

Contact Information

Primary practice address
209 Lilly Rd Ne Olympia WA 98506-5030
Phone: (360) 413-8250
Fax: (360) 413-8850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201344 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 22155 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP60877588 Washington

Profile Details

NPI number 1386095891
LBN Legal business name Blackley, Montana N
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Sep 26th, 2024 - about 2 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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