Carissa F Blank, LPN
Licensed Practical Nurse in Eugene, Oregon
1114356714- Practice location
- 151 W 7TH Ave, Suite 100, Eugene, OR 97401-1100
- Phone
- 541-682-8779
- Fax
- 541-682-9924
- Last updated
- April 30, 2015
Carissa F Blank, LPN is a Licensed Practical Nurse based in Eugene, OR. Carissa F Blank, LPN holds the professional credentials of LPN. The NPI number for Carissa F Blank, LPN is 1114356714 and holds license No. 201393726LPN (OR). The current practice location address is 151 W 7TH Ave, Suite 100, Eugene, OR 97401-1100 and the office can be reached by phone at 541-682-8779 and by fax at 541-682-9924. The NPI was assigned on November 4, 2013 and the record was last updated in NPPES on April 30, 2015.
●Provider Profile Details
- NPI Number
- 1114356714
- Provider Name
- Carissa Fawn Blank
- Credential
- LPN
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Enumeration Date
- November 4, 2013
- Last Update Date
- April 30, 2015
- NPI Status
- Active
- Other Names
- -- Carissa Fawn Webb (Former Name)
◉Business Practice Location Address
- Address
- 151 W 7TH Ave
Suite 100
Eugene, OR 97401-1100 - City
- Eugene
- State
- Oregon
- ZIP
- 97401-1100
- Country
- US
- Phone Number
- 541-682-8779
- Fax Number
- 541-682-9924
✉Business Mailing Address
- Address
- 25110 Perkins RD
Veneta, OR 97487-9756 - City
- Veneta
- State
- OR
- ZIP
- 97487-9756
- Phone Number
- 541-505-0498
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 201393726LPN | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Eugene →?Frequently Asked Questions
What is the NPI number of Carissa F Blank, LPN?
The NPI number of Carissa F Blank, LPN is 1114356714. It was assigned on November 4, 2013 and is currently active in the NPPES registry.
What is the specialty of Carissa F Blank, LPN?
Carissa F Blank, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X) and holds license No. 201393726LPN (OR).
Where does Carissa F Blank, LPN practice?
The practice location is 151 W 7TH Ave, Suite 100, Eugene, OR 97401-1100. The office can be reached at 541-682-8779 (phone) or 541-682-9924 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114356714 directly on the NPPES registry website at npiregistry.cms.hhs.gov.