BLAKE RAINIE SLACK

BOSTON, MA
NPI1003055591
Former NameBLAKE ELIZABETH RAINIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MA  RN283129)
Additional Taxonomies176B00000X Midwife
(Licence: MD  AC000650)
176B00000X Midwife
(Licence: MA  283129)
363LW0102X Nurse Practitioner, Women's Health
(Licence: MA  RN283129)
Enumeration Date2009-02-07
Last Update Date2016-04-28
Business Address
Mrs. BLAKE RAINIE SLACK CNM, WHNP
55 FRUIT ST, FOUNDERS 454 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114-2621
Phone number: 617-726-2033
Mailing Address
Mrs. BLAKE RAINIE SLACK CNM, WHNP
55 FRUIT ST, FOUNDERS 454 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114-2621
Phone number: 617-726-2033