Blake, Catrina Patricia

Blake, Catrina Patricia is an individual health care provider with primary practice located at 101 S San Mateo Dr , San Mateo CA 94401-3819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blake, Catrina Patricia can be contacted via phone (650) 755-6400.

Contact Information

Primary practice address
101 S San Mateo Dr San Mateo CA 94401-3819
Phone: (650) 755-6400
Fax: (650) 755-6403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F08190605 California

Profile Details

NPI number 1205472115
LBN Legal business name Blake, Catrina Patricia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2019
Last updated Nov 26th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205472115 NPPES
California Other Y6326908 DRIVER'S LICENSE

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