Amy Susan Blake in Landenberg - Nurse Practitioner
Amy Susan Blake - NPI 1013978535
Amy Susan Blake is a Nurse Practitioner in Landenberg, Pennsylvania. Amy Susan Blake practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Amy Susan Blake is 1013978535. The last update date is 2020-08-17.
Amy Susan Blake's current location address is 129 Cambridge Rd, Landenberg, Pennsylvania. You can contact this provider via phone number 3027570861. The mailing address for Amy Susan Blake is 129 Cambridge Rd, Landenberg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Susan Blake |
|---|---|
| Address | 129 Cambridge Rd, Landenberg, Pennsylvania |
| Phone Number | 3027570861 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1013978535 |
|---|---|
| Provider Enumeration Date | 2006-04-01 |
| Last Updated Date | 2020-08-17 |
Provider Mailing Address Detail
| Address | 129 Cambridge Rd |
|---|---|
| City | Landenberg |
| State | Pennsylvania (PA) |
| Post Code | 193501304 |
| Phone Number | 3027570861 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | LG-0000384 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1013978535 | DE | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Amy Susan Blake?
The Amy Susan Blake has been issued the NPI (National Provider Identifier) 1013978535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Amy Susan Blake is located?
The Amy Susan Blake is situated at the following address: 129 Cambridge Rd, Landenberg, PA, 193501304.
What is the Amy Susan Blake's specialty and taxonomy code?
The Amy Susan Blake's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Amy Susan Blake receive the assignment of its 1013978535 from the Centers for Medicare & Medicaid Services?
The Amy Susan Blake was issued its 1013978535 by the Centers for Medicare & Medicaid Services on 2006-04-01.
When was the information regarding Amy Susan Blake most recently updated?
The details pertaining to the Amy Susan Blake, including its address, specialty, and other relevant information, were last refreshed on 2020-08-17.
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