Individual provider · NPI-1

Suzanne Ravita Blackburn, CRNFA

Registered Nurse, Registered Nurse First Assistant · Orlando, FL

NPI number1801138995
StatusActive
Last updated in NPPESMar 27, 2013

Details

NPI
1801138995
Entity type
Individual (NPI-1)
Name
Suzanne Ravita Blackburn
Credential
CRNFA
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2013
Last updated
Mar 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First AssistantRN3314902FLYes

Practice location

7897 Saint Andrews Cir
Orlando, FL 32835-8170

Phone 407-445-0215 · Fax 407-445-0287

Mailing address

7897 Saint Andrews Cir
Orlando, FL 32835-8170

Phone 407-445-0215 · Fax 407-445-0287

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