Individual provider · Type 1 NPI

Angela Lynn Blake, DNP

Nurse Practitioner · Rathdrum, ID

NPI number 1598548463 Active

Practice location

16760 N Highway 41
Rathdrum, ID 83858-8715

Call (208) 687-5627 Map

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X747465 (ID)
Nurse Practitioner Primary 363L00000X747465 (ID)

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 1598548463

Angela Lynn Blake, DNP's National Provider Identifier is 1598548463, issued on Aug 15, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rathdrum, ID. The record was last updated on Dec 19, 2024.