CARISSA FAWN BLANK LPN NPI 1114356714

NPI Information

Carissa Fawn Blank, LPN is a licensed practical nurse in Eugene, OR. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Carissa Fawn Blank, LPN NPI is 1114356714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 W 7TH AVE
SUITE 100
EUGENE, OR
ZIP 97401-100
Phone: (541) 682-8779
Fax: (541) 682-9924

The enumeration date for this NPI number is 11/4/2013 and was last updated on 4/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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