person
Mr. Charles Edward Blake, FNP-BC
Family Nurse Practitioner in Glendale, Arizona
NPI 1972666154

Charles Edward Blake is a Family Nurse Practitioner based in Chandler, AZ and is specialized in Family. Charles Edward Blake practices in Glendale, AZ and has the professional credentials of FNP-BC. The NPI Number for Charles Edward Blake is 1972666154 and holds a License No. AP2395 (Arizona).

The current practice location address for Charles Edward Blake is 17215 N 72Nd Dr Bldg D, Glendale, AZ and can be reached out via phone at 480-214-9000 and via fax at 480-214-9999.

Location: 17215 N 72Nd Dr Bldg D, Glendale, AZ, 85224-6239
person
Provider Profile Details
NPI Number
1972666154
Provider Name
Charles Edward Blake
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
17215 N 72Nd Dr Bldg D, Glendale, AZ, 85224-6239
Phone Number
480-214-9000
Fax Number
480-214-9999
Provider Enumeration Date
12/18/2006
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
17215 N 72Nd Dr Bldg D
City
State
Zip
85308-8558
Phone Number
480-214-9000
Fax Number
480-214-9999
person
Provider Business Mailing Address Details
Address
17215 N 72Nd Dr Bldg D
City
State
Zip
85308-8558
Phone Number
480-214-9000
Fax Number
480-214-9999
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP2395 (Arizona)
Definition
Definition to come...
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