Individual provider · Type 1 NPI

Andrew T. Blake, RN

Registered Nurse · Roseville, MN

NPI number 1780505891 Active

Practice location

2350 Cleveland Ave N
Roseville, MN 55113-2701

Fax (651) 493-4247

Mailing address

8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2499974 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1780505891

Andrew T. Blake, RN's National Provider Identifier is 1780505891, issued on Jul 23, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Roseville, MN. The record was last updated on Jul 23, 2026.