Individual provider · Type 1 NPI
Shirley R. Blake, M.S.
Specialist · Bristol, VA
NPI number
1467988360
Active
Practice location
24063 Highpoint Rd
Bristol, VA 24202-4707
Fax (276) 591-5353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Interpreter | 171R00000X | None listed |
| Specialist Primary | 174400000X | PGP-127280 (VA) |
| Prevention Professional | 405300000X | 10,545 (VA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1467988360
Shirley R. Blake, M.S.'s National Provider Identifier is 1467988360, issued on May 11, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bristol, VA. The record was last updated on May 11, 2017.