Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHIRLEY R BLAKE, M.S.
Active Sole ProprietorMS. SHIRLEY R BLAKE, M.S. is a Specialist healthcare provider located in BRISTOL, Virginia. NPI 1467988360 is currently active in the NPPES registry. Verify at CMS.
Specialist · BRISTOL, VA
Registration Details
- NPI Number
- 1467988360
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2017 (9.2206453701102 yrs)
- Last Updated
- May 11, 2017
- Licenses
-
PGP-127280 (VA)10,545 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24063 HIGHPOINT RDBRISTOL, VA, 242024707Browse VA providers · Browse ZIP 24202
- Phone
- 2769710079
- Fax
- 2765915353
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
- Additional Specialty
- 405300000X
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.