Dr. MARISSA BLAKE
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1275103343- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 28 CRESCENT ST, MIDDLETOWN, CT, 064573654
- Phone
- (860) 358-6000
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: CT #9811
Student in an Organized Health Care Education/Training Program
All Addresses
MAILING
128 BASSETT RD
NORTH HAVEN, CT, 064731903