Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI LEIGH BLAKE, DNP,ACNPC-AG, CRNFA
ActiveTRACI LEIGH BLAKE, DNP,ACNPC-AG, CRNFA is a Acute Care Nurse Practitioner healthcare provider located in ROCKFORD, Illinois. NPI 1649543042 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · ROCKFORD, IL
Registration Details
- NPI Number
- 1649543042
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2012 (14.457426859914 yrs)
- Last Updated
- May 1, 2025
- Licenses
-
041336983 (IL)209032163 (IL)
Practice Information
- Address
-
8201 E RIVERSIDE BLVDROCKFORD, IL, 611142300Browse IL providers · Browse ZIP 61114
- Phone
- 8159717000
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
- Additional Specialty
- Acute Care Nurse Practitioner
Other Acute Care Nurse Practitioner Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. MEREDYDD JANE HARPER | APRN,BC | 1245300284 |
| MS. KATHRYN RAE CARLOVSKY | RN, ACNP | 1306030119 |
| LORIE ANNE CORCORAN | APNP | 1497035166 |
| LARISA PITON | APN | 1760727010 |
| MRS. GAIL MARIE MARICH | NP | 1255678751 |
| JACLYN C. WEIDNER | APN | 1669969275 |
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.