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Ms. Elizabeth Miyu Blake, ARNP
Pediatric Nurse Practitioner in Pasco, Washington
NPI 1639103237

Elizabeth Miyu Blake is a Pediatric Nurse Practitioner based in Port Townsend, WA and is specialized in Pediatrics. Elizabeth Miyu Blake practices in Pasco, WA and has the professional credentials of ARNP. The NPI Number for Elizabeth Miyu Blake is 1639103237 and holds a License No. RN00118189 (Washington).

The current practice location address for Elizabeth Miyu Blake is 301 N 10Th Ave, Pasco, WA and can be reached out via phone at 509-547-2429.

Location: 301 N 10Th Ave, Pasco, WA, 98368-5049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639103237
Provider Name
Elizabeth Miyu Blake
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
301 N 10Th Ave, Pasco, WA, 98368-5049
Phone Number
509-547-2429
Fax Number
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP30003638 01 WA ARNP LICENSE
9620097 05 WA
RN00118189 01 WA RN LICENSE
institution
Provider Business Practice Location Address Details
Address
301 N 10Th Ave
City
Pasco
State
Washington
Zip
99301-5480
Phone Number
509-547-2429
Fax Number
person
Provider Business Mailing Address Details
Address
301 N 10Th Ave
City
Pasco
State
Washington
Zip
99301-5480
Phone Number
509-547-2429
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN00118189 (Washington)
Definition
Definition to come...
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