Andrea Blake is a Gerontology in Des Moines, Iowa. Andrea Blake practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Andrea Blake is 1174637748. The last update date is 2008-09-05.
Andrea Blake's current location address is Po Box 1475, Des Moines, Iowa. You can contact this provider via phone number 5156434973. The mailing address for Andrea Blake is Po Box 1475, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Blake |
|---|---|
| Address | Po Box 1475, Des Moines, Iowa |
| Phone Number | 5156434973 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1174637748 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2008-09-05 |
Provider Mailing Address Detail
| Address | Po Box 1475 |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503061475 |
| Phone Number | 5156434973 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | R162244 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 485813 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrea Blake by the Centers for Medicare & Medicaid Services (CMS)?
The Andrea Blake has been assigned the NPI (National Provider Identifier) 1174637748. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Andrea Blake?
The Andrea Blake is physically situated at Po Box 1475, in the city of Des Moines, state of IA, with the postal code 503061475.
What is the Andrea Blake's area of specialization and corresponding taxonomy classification?
The Andrea Blake's specialty field is Gerontology, and it falls under the taxonomy code 363Lg0600X, which categorizes healthcare providers based on their specialties.
On what date was the 1174637748 assigned to Andrea Blake?
The Andrea Blake was issued its 1174637748 on 2006-08-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Andrea Blake's details last updated?
The information pertaining to the Andrea Blake, including its address, specialty, and other details, was most recently updated on 2008-09-05.
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