Individual provider · Type 1 NPI
Kathleen Susan Blake
Licensed Practical Nurse · Livonia, NY
NPI number
1841032745
Active
Practice location
5988 Price Rd
Livonia, NY 14487-9672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 350099 (NY) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1841032745
Kathleen Susan Blake's National Provider Identifier is 1841032745, issued on Jun 11, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Livonia, NY. The record was last updated on Jun 11, 2024.