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

STEDMOND L BLAKE

Active

STEDMOND L BLAKE is a Licensed Practical Nurse healthcare provider located in FT WAINWRIGHT, Alaska. NPI 1902878192 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · FT WAINWRIGHT, AK

Registration Details

NPI Number
1902878192
Provider Type
Individual
Gender
Male
NPI Issued
Feb 2, 2006 (20.538334610268 yrs)
Last Updated
Jul 8, 2007
License
P5585 (AK)

Practice Information

Address
1060 GAFFNEY RD
COMMANDER,USA-MAEEAC-AK,ATTN:MCUC-MMD-QM
FT WAINWRIGHT, AK, 997035001
Browse AK providers · Browse ZIP 99703
Phone
9073535418
Fax
9073534845
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in FT WAINWRIGHT, AK

Name Credential NPI
WILLIAM BRYANT 1851376768
GLENN PARKER 1366427270
MRS. DAWN LYNEE MCKENDRICK LPN 1316927841
DENIECE LEE WAZNY LPN 1336129873
MS. BRENDA BONITA WEBBER LPN 1871565903
MR. JACK ERNEST HENDRICKSON LPN 1134191455
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.