Search › Missouri › 163W00000X
Charles Blake, RN
NPI 1043224272 · on the registry since 2006 · sole proprietor
Practice
- Address
- 208 N 36th St
Nixa, MO 65714 - Phone
- (417) 343-4202
- Fax
- (417) 869-1521
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri