Individual provider · Type 1 NPI

Tai Blake, RN

Registered Nurse · Grand Rapids, MI

NPI number 1285868331 Active

Practice location

755 36th St SE
Grand Rapids, MI 49548-2319

Call (616) 897-5900 Map

Fax (616) 897-5954

Mailing address

6070 In The Pines Dr SE
Kentwood, MI 49548-8503

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704255955 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1285868331

Tai Blake, RN's National Provider Identifier is 1285868331, issued on May 5, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 5, 2009.