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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARISSA FAWN BLANK, LPN

Active

CARISSA FAWN BLANK, LPN is a Licensed Practical Nurse healthcare provider located in EUGENE, Oregon. NPI 1114356714 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · EUGENE, OR

Registration Details

NPI Number
1114356714
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2013 (12.734035824786 yrs)
Last Updated
Apr 30, 2015
License
201393726LPN (OR)

Practice Information

Address
151 W 7TH AVE
SUITE 100
EUGENE, OR, 974011100
Browse OR providers · Browse ZIP 97401
Phone
5416828779
Fax
5416829924
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in EUGENE, OR

Name Credential NPI
MRS. GENEVA LEE KEITH LPN 1942405634
MRS. LEEANN D FIELDS LPN 1255524468
MRS. KARLA CURRIE LPN 1659564425
LORI ANN EDMOND LPN 1023257557
LINDA LOUISE AGUILAR 1992944508
REBECCA LIN SMITH LPN 1902131519
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.