Individual provider · Type 1 NPI
Benjamin P. Blakeman, AGACNP
Acute Care Nurse Practitioner · Charlotte, NC
NPI number
1063247948
Active
Practice location
3621 Randolph Rd Ste 100
Charlotte, NC 28211-0027
Mailing address
813 Savile Ln
Fort Mill, SC 29715-7800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 29069 (SC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1063247948
Benjamin P. Blakeman, AGACNP's National Provider Identifier is 1063247948, issued on Sep 3, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charlotte, NC. The record was last updated on Sep 3, 2024.