Individual provider · Type 1 NPI

Emily Blake

Administrator Registered Nurse · New Haven, IN

NPI number 1730019340 Active

Practice location

11165 State Road 37 E
New Haven, IN 46774-9770

Mailing address

5124 Cork Tree Cv
Fort Wayne, IN 46825-0039

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000X28265752A (IN)

Administrator Registered Nurse: Definition to come...

About NPI 1730019340

Emily Blake's National Provider Identifier is 1730019340, issued on May 23, 2026. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in New Haven, IN. The record was last updated on May 23, 2026.