Individual provider · Type 1 NPI

Canaan Blake, FNP

Nurse Practitioner · Durham, NC

NPI number 1407211329 Active

Practice location

2511 Old Cornwallis Rd, Suite 200
Durham, NC 27713-1869

Fax (919) 933-6881

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X280433 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407211329

Canaan Blake, FNP's National Provider Identifier is 1407211329, issued on Dec 18, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Durham, NC. The record was last updated on Dec 18, 2015.