Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRENE BLAKE
ActiveIRENE BLAKE is a Pediatric Critical Care Nurse Practitioner healthcare provider located in LAUREL, Maryland. NPI 1902355803 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Nurse Practitioner · LAUREL, MD
Registration Details
- NPI Number
- 1902355803
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2016 (9.8948463644315 yrs)
- Last Updated
- Oct 3, 2016
- License
-
RN1009199 (DC)
Practice Information
- Address
-
8211 RAMBLING ROSE LNLAUREL, MD, 207241964Browse MD providers · Browse ZIP 20724
- Phone
- 2405052473
- Primary Specialty
-
Pediatric Critical Care Nurse Practitioner
363LP0222X
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.