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Contact Information

BLAKE R SLACK, CNM, WHNP
55 FRUIT ST, FOUNDERS 454
MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA02114-2621
 Phone: 617-726-2033
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BLAKE R SLACK · (Female)

NPI # 1003055591
Status Active
Credentials CNM, WHNP
Entity Individual
Enumeration date 02/07/2009
Last updated 04/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 283129
  • MA License # RN283129
  • MD License # AC000650
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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