Blake, Canaan
Blake, Canaan is an individual health care provider with primary practice located at 2511 Old Cornwallis Rd Suite 200, Durham NC 27713-1869. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Blake, Canaan can be contacted via phone (919) 932-5700.Contact Information
Primary practice address
2511 Old Cornwallis Rd Suite 200
Durham NC 27713-1869
Phone: (919) 932-5700
Fax: (919) 933-6881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 280433 | North Carolina |
Profile Details
| NPI number | 1407211329 |
|---|---|
| LBN Legal business name | Blake, Canaan |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2015 |
| Last updated | Dec 18th, 2015 - about 11 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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