Individual provider · Type 1 NPI

Heather M. Blake, NNP

Neonatal Nurse Practitioner · Dearborn, MI

NPI number 1205617164 Active

Practice location

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Mailing address

15228 Warwick Ave
Allen Park, MI 48101-2969

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X4704300929 (MI)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1205617164

Heather M. Blake, NNP's National Provider Identifier is 1205617164, issued on Oct 6, 2023. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Dearborn, MI. The record was last updated on Oct 6, 2023.