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

TRACI LEIGH BLAKE, DNP,ACNPC-AG, CRNFA

Active

TRACI 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 BLVD
ROCKFORD, IL, 611142300
Browse 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.