Individual provider · Type 1 NPI

Stedmond L. Blake

Licensed Practical Nurse · Fort Wainwright, AK

NPI number 1902878192 Active

Practice location

1060 Gaffney Rd, Commander,usa-Maeeac-Ak,attn:mcuc-Mmd-Qm
Fort Wainwright, AK 99703-5001

Call (907) 353-5418 Map

Fax (907) 353-4845

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP5585 (AK)

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 1902878192

Stedmond L. Blake's National Provider Identifier is 1902878192, issued on Feb 2, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Wainwright, AK. The record was last updated on Jul 13, 2026.