MONTANA N BLACKLEY

OLYMPIA, WA
NPI1386095891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP60877588)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  201344)
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  22155)
Enumeration Date2016-06-27
Last Update Date2024-09-26
Business Address
MONTANA N BLACKLEY CRNA
209 LILLY RD NE
OLYMPIA, WA 98506-5030
Phone number: 360-413-8250
Mailing Address
MONTANA N BLACKLEY CRNA
7615 TRADITIONS AVE NE
LACEY, WA 98516-1335
Phone number: 503-703-7826