Active NPIIndividual provider

Vicky M Blake, LPN

Licensed Practical Nurse in Athol, Massachusetts

NPI Number1184969875
Practice location
116 Chase Road, Athol, MA 01331
Fax
—
Last updated
December 6, 2012

Vicky Mae Blake is a Licensed Practical Nurse based in Athol, MA. Vicky Mae Blake practices in Athol, MA and has the professional credentials of LPN. The NPI Number for Vicky Mae Blake is 1184969875 and holds a License No. LN59554 (MA). The current practice location address for Vicky Mae Blake is 116 Chase Road, Athol, MA 01331 and can be reached out via phone at 978-249-4794.

Provider Profile Details

NPI Number
1184969875
Provider Name
Vicky Mae Blake
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
116 Chase Road, Athol, MA 01331
Phone Number
978-249-4794
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Provider Enumeration Date
December 6, 2012
Last Update Date
December 6, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
116 Chase Road
Athol, MA 01331
City
Athol
Zip
01331
Phone Number
978-249-4794
Athol, MA 01331Get directions →

Provider Business Mailing Address Details

Address
116 Chase Road
Athol, MA 01331
City
Athol
State
MA
Zip
01331
Phone Number
978-249-4794

License Information

License Number
LN59554
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vicky M Blake, LPN?

The NPI number of Vicky M Blake, LPN is 1184969875. It was assigned on December 6, 2012 and is currently active in the NPPES registry.

What is the specialty of Vicky M Blake, LPN?

Vicky M Blake, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN59554.

Where does Vicky M Blake, LPN practice?

The practice location is 116 Chase Road, Athol, MA 01331. The office can be reached at 978-249-4794 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184969875 directly on the NPPES registry website.

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