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Mandy Blake, PNP
Pediatric Nurse Practitioner in Salisbury, North Carolina
NPI 1114359726

Mandy Blake is a Pediatric Nurse Practitioner based in Salisbury, NC and is specialized in Pediatrics. Mandy Blake practices in Salisbury, NC and has the professional credentials of PNP. The NPI Number for Mandy Blake is 1114359726 and holds a License No. 5006329 (North Carolina).

The current practice location address for Mandy Blake is 129 Woodson St, Salisbury, NC and can be reached out via phone at 704-636-5576 and via fax at 704-216-2011.

Location: 129 Woodson St, Salisbury, NC, 28144-3255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114359726
Provider Name
Mandy Blake
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
129 Woodson St, Salisbury, NC, 28144-3255
Phone Number
704-636-5576
Fax Number
704-216-2011
Provider Enumeration Date
08/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
129 Woodson St
City
Salisbury
State
North Carolina
Zip
28144-3255
Phone Number
704-636-5576
Fax Number
704-216-2011
person
Provider Business Mailing Address Details
Address
129 Woodson St
City
Salisbury
State
North Carolina
Zip
28144-3255
Phone Number
704-636-5576
Fax Number
704-216-2011
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5006329 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
5006329 (North Carolina)
Definition
Definition to come...
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