David Lee Blank, CRNA is a
Nurse Anesthetist, Certified Registered based in Trinidad, Colorado. David Lee Blank is licensed to practice in Colorado (license number 0001300) and his current practice location is
909 Park St, Trinidad, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 550-0888.
NPI number for David Lee Blank is 1487873337 and his current mailing address is 909 Park St, Trinidad, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487873337.
Provider's Profile
| Full Name | David Lee Blank |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 909 Park St, Trinidad, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487873337
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 08/30/2016
Medical Identifiers
Medical identifiers for David Lee Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487873337 | NPI | - | NPPES |
| 24927244 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN 77277 (Colorado) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0001300 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Lee Blank is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Lee Blank, CRNA
909 Park St,
Trinidad, CO 81082-2312
Ph: (303) 550-0888 | David Lee Blank, CRNA
909 Park St,
Trinidad, CO 81082-2312
Ph: (303) 550-0888 |
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