Individual provider · Type 1 NPI
Traci A. Blake, RN
Community Health Registered Nurse · Canisteo, NY
NPI number
1093385759
Active
Practice location
5023 Bush Hill Rd
Canisteo, NY 14823-9675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 804067-02 (NY) |
Community Health Registered Nurse: Definition to come...
About NPI 1093385759
Traci A. Blake, RN's National Provider Identifier is 1093385759, issued on Jun 25, 2021. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Canisteo, NY. The record was last updated on Jun 25, 2021.