Individual provider · Type 1 NPI
Robert Demarest Blake Jr.
Licensed Practical Nurse · Fillmore, NY
NPI number
1285029389
Active
Practice location
11242 Mills Mills Rd
Fillmore, NY 14735-8622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 251326-1 (NY) |
| Adult Care Home Facility | 311ZA0620X | 251326-1 (NY) |
Licensed Practical Nurse: 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.
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- Naomi Jo Bennion, LPNLicensed Practical Nurse Fillmore, NY NPI 1669638839
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About NPI 1285029389
Robert Demarest Blake Jr.'s National Provider Identifier is 1285029389, issued on Apr 6, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fillmore, NY. The record was last updated on Apr 6, 2015.