Individual provider · Type 1 NPI

Stefanie Blake

Neonatal Nurse Practitioner · Detroit, MI

NPI number 1467904904 Active

Practice location

3901 Beaubien, Children's Hospital Of Mi
Detroit, MI 48201

Call (313) 745-5638 Map

Fax (313) 745-5867

Mailing address

4201 St. Antoine - Uhc 5D #226, University Pediatricians
Detroit, MI 48201-2153

Specialties and licenses

Taxonomy	Code	License
Neonatal Nurse Practitioner Primary	363LN0000X	4704272308 (MI)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1467904904

Stefanie Blake's National Provider Identifier is 1467904904, issued on Nov 1, 2016. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Detroit, MI. The record was last updated on Nov 1, 2016.