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Contact Information

RENYA BLAISE
4526 FEDERAL AVE
EVERETT, WA98203-2132
 Phone: 425-349-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for RENYA BLAISE · (Female)

NPI # 1427858083
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2025
Last updated 03/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # RN9415248
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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