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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REGINA BLAKE

Active Sole Proprietor

REGINA BLAKE is a Licensed Practical Nurse healthcare provider located in CONCORD TWP, Ohio. NPI 1003203803 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · CONCORD TWP, OH

Registration Details

NPI Number
1003203803
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2015 (11.317512996014 yrs)
Last Updated
Apr 20, 2015
License
PN 092709 (OH)
Sole Proprietor
Yes

Practice Information

Address
7757 AUBURN RD
CONCORD TWP, OH, 440779609
Browse OH providers · Browse ZIP 44077
Phone
4403502547
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CONCORD TWP, OH

Name Credential NPI
MELISSA NOEYACK LPN 1518245976
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.