Individual provider · Type 1 NPI

Mia Blake

Student in an Organized Health Care Education/Training Program · Milford, DE

NPI number 1891645826 Active

Practice location

21 W Clarke Ave Ste 1050
Milford, DE 19963-1857

Call (302) 503-7650 Map

Mailing address

106 Boncouer Rd
Cheltenham, PA 19012-1322

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891645826

Mia Blake's National Provider Identifier is 1891645826, issued on Jan 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milford, DE. The record was last updated on Jan 29, 2026.