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Vicky Mae Blake, LPN
Licensed Practical Nurse in Athol, Massachusetts
NPI 1184969875

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 (Massachusetts).

The current practice location address for Vicky Mae Blake is 116 Chase Road, Athol, MA and can be reached out via phone at 978-249-4794. You can also correspond with Vicky Mae Blake through the mailing address at 116 CHASE ROAD, ATHOL, MA - 01331 (mailing address contact number: 978-249-4794).

Location: 116 Chase Road, Athol, MA, 01331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Fax Number
Provider Enumeration Date
12/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
116 Chase Road
City
Athol
State
Massachusetts
Zip
01331
Phone Number
978-249-4794
Fax Number
person
Provider Business Mailing Address Details
Address
116 Chase Road
City
Athol
State
Massachusetts
Zip
01331
Phone Number
978-249-4794
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LN59554 (Massachusetts)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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