David Lee Blank in Trinidad - Registered Nurse
David Lee Blank - NPI 1487873337
David Lee Blank is a Registered Nurse in Trinidad, Colorado. David Lee Blank practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for David Lee Blank is 1487873337. The last update date is 2016-08-30.
David Lee Blank's current location address is 909 Park St, Trinidad, Colorado. You can contact this provider via phone number 3035500888. The mailing address for David Lee Blank is 909 Park St, Trinidad, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Blank |
|---|---|
| Address | 909 Park St, Trinidad, Colorado |
| Phone Number | 3035500888 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1487873337 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2016-08-30 |
Provider Mailing Address Detail
| Address | 909 Park St |
|---|---|
| City | Trinidad |
| State | Colorado (CO) |
| Post Code | 810822312 |
| Phone Number | 3035500888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | RN 77277 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24927244 | CO | -- |
Post Comment/ Review Below
What is the David Lee Blank's 1487873337?
The David Lee Blank's NPI (National Provider Identifier) Number is 1487873337. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Lee Blank's physical address?
The David Lee Blank is physically located at 909 Park St, in the city of Trinidad, CO, with the postal code 810822312.
What is David Lee Blank's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Lee Blank's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.
On what date did the David Lee Blank receive the assignment of its 1487873337 from the Centers for Medicare & Medicaid Services?
The David Lee Blank was issued its 1487873337 by the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the information related to David Lee Blank most recently updated or refreshed?
The details pertaining to the David Lee Blank, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-08-30.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA