IndividualActive
Blake Rawls
NPI 1679468987 · Certified Registered Nurse Anesthetist · Oklahoma City, OK
Provider details
- NPI number
- 1679468987
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- R0136141 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone: (405) 230-9000
Approximate (ZIP-level) locationGet directions
Mailing address
5005 Nw 164th Ter
Edmond, OK 73013-9455
Registry dates
- Enumerated
- 2025-06-09
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.