Individual provider · Type 1 NPI

Pamela J. Blake, CRNP

Obstetrics & Gynecology Nurse Practitioner · Birmingham, AL

NPI number 1770538977 Active

Practice location

619 19th St S
Birmingham, AL 35249-1900

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001X1054391 (AL)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1770538977

Pamela J. Blake, CRNP's National Provider Identifier is 1770538977, issued on May 24, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Birmingham, AL. The record was last updated on Jul 30, 2012.