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NPI Profile for BLAKE A ANDERSON in MOSES LAKE, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1396625356 |
|
| Status | Active | |
| Credentials | ARNP, FNP-C | |
| Entity | Individual | |
| Enumeration date | 09/02/2025 | |
| Last updated | 10/24/2025 - About 8 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BLAKE A ANDERSON
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BLAKE A ANDERSON, ARNP, FNP-C