Individual provider · Type 1 NPI

Blake Larose, FNP

Family Nurse Practitioner · Thibodaux, LA

NPI number 1366129769 Active

About NPI 1366129769

Blake Larose, FNP's National Provider Identifier is 1366129769, issued on Jun 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Thibodaux, LA. The record was last updated on Jun 28, 2023.