Individual provider · Type 1 NPI

Elizabeth Ann Blake, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Port Charlotte, FL

NPI number 1619832508 Active

Practice location

3191 Harbor Blvd Ste A
Port Charlotte, FL 33952-6755

Fax (941) 249-4356

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11043962 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1619832508

Elizabeth Ann Blake, PMHNP-BC's National Provider Identifier is 1619832508, issued on Dec 22, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Charlotte, FL. The record was last updated on May 28, 2026.