NPI 1043561343

Blake T Peterson, CRNA

Practitioner Certified Registered Nurse Anesthetist Yakima, WA

Practice location

Address: 406 S 30th Ave Suite 202, Yakima, WA 98902-3713
Phone: (509) 972-1051
Fax: (509) 972-4166

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP60300423 (WA)

Other Nurse Anesthetist, Certified Registered providers in Washington →

Registry record

NPI: 1043561343
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2012
Record last updated: 26 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.