Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES BARTLETT BLAKE, RN
Active Sole ProprietorMR. CHARLES BARTLETT BLAKE, RN is a Registered Nurse healthcare provider located in NIXA, Missouri. NPI 1043224272 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · NIXA, MO
Registration Details
- NPI Number
- 1043224272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.051916741983 yrs)
- Last Updated
- Jul 8, 2007
- License
-
088073 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 N 36TH STNIXA, MO, 657147560Browse MO providers · Browse ZIP 65714
- Phone
- 4173434202
- Fax
- 4178691521
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in NIXA, MO
| Name | Credential | NPI |
|---|---|---|
| JACOB AARON GRADY | — | 1437866522 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.