Individual provider · Type 1 NPI
Marisa Beth Blake, LPN
Licensed Practical Nurse · Plattsburgh, NY
NPI number
1417534108
Active
Practice location
75 Oak St
Plattsburgh, NY 12901-1805
Fax (518) 562-8126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 311803 (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.
2 other providers at this address
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About NPI 1417534108
Marisa Beth Blake, LPN's National Provider Identifier is 1417534108, issued on Mar 27, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plattsburgh, NY. The record was last updated on Mar 27, 2021.