Mandy Blake, PNP
NPI #1114359726 in Salisbury, North Carolina
Provider Information
- NPI Number
- 1114359726
- Entity Type
- Individual
- Name
- Mandy Blake, PNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- PNP
- Enumeration Date
- Aug 6, 2013
- Last Updated
- Aug 6, 2013
Practice Location
- Address
- 129 WOODSON ST
- City
- Salisbury
- State
- North Carolina
- ZIP Code
- 28144-3255
- Phone
- (704) 636-5576
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Pediatrics — Pediatrics |
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