OrganizationActive
Carol Blake, Msn, RN, Cns, Crnfa, Cnor, PC
NPI 1073678785 · Perioperative Clinical Nurse Specialist · Phoenix, AZ
Provider details
- NPI number
- 1073678785
- Entity type
- Organization
- Primary specialty
- Perioperative Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Carol Blake, President
- License
- RN036821 (AZ)
Practice location
4091 E Nisbet Rd
Phoenix, AZ 85032-4767
Phone: (602) 971-8588
Fax: (602) 971-3887
Mailing address
4091 E Nisbet Rd
Phoenix, AZ 85032-4767
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.