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Marisa Beth Blake, LPN
Licensed Practical Nurse in Plattsburgh, New York
NPI 1417534108

Marisa Beth Blake is a Licensed Practical Nurse based in Plattsburgh, NY. Marisa Beth Blake practices in Plattsburgh, NY and has the professional credentials of LPN. The NPI Number for Marisa Beth Blake is 1417534108 and holds a License No. 311803 (New York).

The current practice location address for Marisa Beth Blake is 75 Oak St, Plattsburgh, NY and can be reached out via phone at 518-562-8119 and via fax at 518-562-8126.

Location: 75 Oak St, Plattsburgh, NY, 12901-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417534108
Provider Name
Marisa Beth Blake
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
75 Oak St, Plattsburgh, NY, 12901-1805
Phone Number
518-562-8119
Fax Number
518-562-8126
Provider Enumeration Date
03/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 Oak St
City
Plattsburgh
State
New York
Zip
12901-1805
Phone Number
518-562-8119
Fax Number
518-562-8126
person
Provider Business Mailing Address Details
Address
75 Oak St
City
Plattsburgh
State
New York
Zip
12901-1805
Phone Number
518-562-8119
Fax Number
518-562-8126
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
311803 (New York)
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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