Search › Virginia › 174400000X
Shirley Blake, M.S
NPI 1467988360 · on the registry since 2017 · sole proprietor
Practice
- Address
- 24063 Highpoint Rd
Bristol, VA 24202 - Phone
- (276) 971-0079
- Fax
- (276) 591-5353
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 171R00000X
405300000X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-11
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 Virginia