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

TRACEY BLAKE, RN, IBCLC

Active Sole Proprietor

TRACEY BLAKE, RN, IBCLC is a Lactation Consultant Nurse healthcare provider located in COLUMBUS, Indiana. NPI 1174941447 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant Nurse · COLUMBUS, IN

Registration Details

NPI Number
1174941447
Provider Type
Individual
Gender
Female
NPI Issued
Apr 2, 2014 (12.329135938506 yrs)
Last Updated
Apr 2, 2014
License
11136128 (IN)
Sole Proprietor
Yes

Practice Information

Address
1120 N MARR RD
COLUMBUS, IN, 472015505
Browse IN providers · Browse ZIP 47201
Phone
8123769219
Primary Specialty
Lactation Consultant Nurse
163WL0100X
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.