Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA NICOLE BLAKE
ActiveTARA NICOLE BLAKE is a Licensed Practical Nurse healthcare provider located in PETERSTOWN, West Virginia. NPI 1487519898 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · PETERSTOWN, WV
Registration Details
- NPI Number
- 1487519898
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2025 (0.66060399619441 yrs)
- Last Updated
- Dec 17, 2025
- License
-
37492 (WV)
Practice Information
- Address
-
3633 SENECA TRL SPETERSTOWN, WV, 249635063Browse WV providers · Browse ZIP 24963
- Phone
- 3049941490
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in PETERSTOWN, WV
| Name | Credential | NPI |
|---|---|---|
| JESSICA FISHER | LPN | 1770295107 |
| KIMBERLY DAWN RHODES | LPN | 1801508833 |
| MRS. AMANDA MICHELLE CRUMPLER | — | 1982317319 |
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.