Blake Andrew Embrey
Blake Andrew Embrey is a Nurse Practitioner in Coldwater, Mississippi. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 9
- Licensed in
- MS
- In the registry since
- 2017
Practice location Address checks out
423 Central AveColdwater, MS 38618
Phone: (662) 622-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 902101 (MS) |
|---|
Record details
| NPI number | 1770007452 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 3, 2017 |
| Last updated in NPPES | August 3, 2017 |
| Mailing address | 423 Central Ave, Coldwater, MS 38618-3915 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Coldwater
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Tara Puckett, NP-C
423 Central Ave, Coldwater, MS 38618-3915 · (662) 622-7011