Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE PEDERSEN
ActiveBLAKE PEDERSEN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in EMMETSBURG, Iowa. NPI 1265381420 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · EMMETSBURG, IA
Registration Details
- NPI Number
- 1265381420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2026 (0.60461558071182 yrs)
- Last Updated
- Jan 22, 2026
- License
-
G188690 (IA)
Practice Information
- Address
-
3201 1ST STEMMETSBURG, IA, 505362516Browse IA providers · Browse ZIP 50536
- Phone
- 7128525500
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in EMMETSBURG, IA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER GRAVENISH | ARNP | 1164093399 |
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.