Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI A BLAKE, RN
ActiveTRACI A BLAKE, RN is a Community Health Nurse healthcare provider located in CANISTEO, New York. NPI 1093385759 is currently active in the NPPES registry. Verify at CMS.
Community Health Nurse · CANISTEO, NY
Registration Details
- NPI Number
- 1093385759
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2021 (5.1799060434099 yrs)
- Last Updated
- Jun 25, 2021
- License
-
804067-02 (NY)
Practice Information
- Address
-
5023 BUSH HILL RDCANISTEO, NY, 148239675Browse NY providers · Browse ZIP 14823
- Phone
- 6079684125
- Primary Specialty
-
Community Health Nurse
163WC1500X
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.