Montana N Blackley, CRNA
NPI #1386095891 in Olympia, Washington
Provider Information
- NPI Number
- 1386095891
- Entity Type
- Individual
- Name
- Montana N Blackley, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- CRNA
- Enumeration Date
- Jun 27, 2016
- Last Updated
- Sep 26, 2024
Practice Location
- Address
- 209 LILLY RD NE
- City
- Olympia
- State
- Washington
- ZIP Code
- 98506-5030
- Phone
- (360) 413-8250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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