Individual provider · Type 1 NPI

Brian G. Blake, APRN, FNP-BC, RN

Family Nurse Practitioner · Munster, IN

NPI number 1649876046 Active

Practice location

8135 Calumet Ave
Munster, IN 46321-1701

Mailing address

15604 Rob Roy Dr
Oak Forest, IL 60452-2738

Other practice locations

  • 15604 Rob Roy Dr, Oak Forest, IL 60452-2738 · (773) 771-8197

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.022503 (IL)

Family Nurse Practitioner: Definition to come...

41 other providers at this address

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About NPI 1649876046

Brian G. Blake, APRN, FNP-BC, RN's National Provider Identifier is 1649876046, issued on Dec 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Munster, IN. The record was last updated on Feb 8, 2021.