Individual provider · Type 1 NPI

Charles Edward Blake, FNP-BC

Family Nurse Practitioner · Glendale, AZ

NPI number 1972666154 Active

Practice location

17215 N 72nd Dr Bldg D
Glendale, AZ 85308-8558

Call (480) 214-9000 Map

Fax (480) 214-9999

Mailing address

2051 W Chandler Blvd Ste 5
Chandler, AZ 85224-6239

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP2395 (AZ)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1972666154

Charles Edward Blake, FNP-BC's National Provider Identifier is 1972666154, issued on Dec 18, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glendale, AZ. The record was last updated on May 9, 2024.