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

DAVID LEE BLANK, CRNA

Active Sole Proprietor

DAVID LEE BLANK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in TRINIDAD, Colorado. NPI 1487873337 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · TRINIDAD, CO

Registration Details

NPI Number
1487873337
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2007 (19.261824084356 yrs)
Last Updated
Aug 30, 2016
Licenses
RN 77277 (CO)
0001300 (CO)
Sole Proprietor
Yes

Practice Information

Address
909 PARK ST
TRINIDAD, CO, 810822312
Browse CO providers · Browse ZIP 81082
Phone
3035500888
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in TRINIDAD, CO

Name Credential NPI
DAVID ALLAN HUDSON CRNA 1992836910
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.