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Dr. Marissa Blake
Student in an Organized Health Care Education/Training Program in Middletown, Connecticut
NPI 1275103343

Marissa Blake is a Student in an Organized Health Care Education/Training Program based in North Haven, CT. Marissa Blake practices in Middletown, CT. The NPI Number for Marissa Blake is 1275103343 and holds a License No. 9811 (Connecticut).

The current practice location address for Marissa Blake is 28 Crescent St, Middletown, CT and can be reached out via phone at 860-358-6000. You can also correspond with Marissa Blake through the mailing address at 128 BASSETT RD, NORTH HAVEN, CT - 06473-1903 (mailing address contact number: ).

Location: 28 Crescent St, Middletown, CT, 06473-1903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275103343
Provider Name
Marissa Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 Crescent St, Middletown, CT, 06473-1903
Phone Number
860-358-6000
Fax Number
Provider Enumeration Date
06/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28 Crescent St
City
Middletown
State
Connecticut
Zip
06457-3654
Phone Number
860-358-6000
Fax Number
person
Provider Business Mailing Address Details
Address
28 Crescent St
City
Middletown
State
Connecticut
Zip
06457-3654
Phone Number
860-358-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
()
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
9811 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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