IndividualActive
Benjamin Blaylock, CRNA
NPI 1154708170 · Certified Registered Nurse Anesthetist · Polk City, IA
Provider details
- NPI number
- 1154708170
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- D124963 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1901 Meadow Lark Dr
Polk City, IA 50226-1283
Phone: (515) 494-9935
Approximate (ZIP-level) locationGet directions
Mailing address
1901 Meadow Lark Dr
Polk City, IA 50226
Additional practice locations (1)
- 1455 29th StWest Des Moines, IA 50266-1302Phone: (515) 988-1564
Registry dates
- Enumerated
- 2015-04-28
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.