Individual provider · Type 1 NPI

Blake Qualls

Registered Nurse · Grand Junction, CO

NPI number 1336085133 Active

Practice location

1100 North Ave
Grand Junction, CO 81501-3122

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN.1678975 (CO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1336085133

Blake Qualls's National Provider Identifier is 1336085133, issued on Apr 25, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Junction, CO. The record was last updated on Apr 25, 2026.