person
Pamela J Blake, CRNP
Obstetrics & Gynecology Nurse Practitioner in Birmingham, Alabama
NPI 1770538977

Pamela J Blake is a Obstetrics & Gynecology Nurse Practitioner based in Birmingham, AL and is specialized in Obstetrics & Gynecology. Pamela J Blake practices in Birmingham, AL and has the professional credentials of CRNP. The NPI Number for Pamela J Blake is 1770538977 and holds a License No. 1054391 (Alabama).

The current practice location address for Pamela J Blake is 619 19Th St S, Birmingham, AL and can be reached out via phone at 205-934-6600.

Location: 619 19Th St S, Birmingham, AL, 35255-5310
person
Provider Profile Details
NPI Number
1770538977
Provider Name
Pamela J Blake
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
619 19Th St S, Birmingham, AL, 35255-5310
Phone Number
205-934-6600
Fax Number
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
891007690 05 AL
051521386 01 AL BLUE CROSS
891007670 05 AL
891007710 05 AL
891007720 05 AL
891007730 05 AL
051521388 01 AL BLUE CROSS
891007680 05 AL
051521387 01 AL BLUE CROSS
051521389 01 AL BLUE CROSS
051521390 01 AL BLUE CROSS
051521392 01 AL BLUE CROSS
051554939 01 AL BLUE CROSS
051521391 01 AL BLUE CROSS
891007700 05 AL
institution
Provider Business Practice Location Address Details
Address
619 19Th St S
City
State
Zip
35249-1900
Phone Number
205-934-6600
Fax Number
person
Provider Business Mailing Address Details
Address
619 19Th St S
City
State
Zip
35249-1900
Phone Number
205-934-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
1054391 (Alabama)
Definition
Definition to come...
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