Blake, Mary L.

Blake, Mary L. is an individual health care provider with primary practice located at 2936 Caldwell Ridge Pkwy , Charlotte NC 28213-5888. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blake, Mary L. can be contacted via phone (704) 578-8041.

Contact Information

Primary practice address
2936 Caldwell Ridge Pkwy Charlotte NC 28213-5888
Phone: (704) 578-8041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5005601 North Carolina

Profile Details

NPI number 1164780177
LBN Legal business name Blake, Mary L.
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated Aug 28th, 2025 - about last year

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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