Individual provider · Type 1 NPI
Irene Blake
Critical Care Pediatric Nurse Practitioner · Laurel, MD
NPI number
1902355803
Active
Practice location
8211 Rambling Rose Ln
Laurel, MD 20724-1964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | RN1009199 (DC) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
About NPI 1902355803
Irene Blake's National Provider Identifier is 1902355803, issued on Oct 3, 2016. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Laurel, MD. The record was last updated on Oct 3, 2016.