Individual provider · Type 1 NPI
Blake Christian Cory, DNP, FNP-C
Family Nurse Practitioner · St. Louis, MO
NPI number
1134720816
Active
Practice location
615 S Ballas Rd # 2015
St. Louis, MO 63122-5314
Fax (314) 251-4842
Mailing address
2206 Lucas Ave Unit 206
St. Louis, MO 63103-1546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2020027124 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1134720816
Blake Christian Cory, DNP, FNP-C's National Provider Identifier is 1134720816, issued on Nov 8, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 8, 2020.