Individual provider · Type 1 NPI

Gail Ann Blake, LPN

Licensed Practical Nurse · Detroit, MI

NPI number 1891022067 Active

Practice location

100 Mack Ave
Detroit, MI 48201-2416

Mailing address

6115 Maple St
Dearborn, MI 48126-2278

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703043275 (MI)

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 1891022067

Gail Ann Blake, LPN's National Provider Identifier is 1891022067, issued on Nov 9, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 9, 2009.