Shauna R Blake, FNP
Nurse Practitioner, Family in New London, Connecticut
1568377604- Practice location
- 1 Shaws Cv, New London, CT 06320-4902
- Phone
- 860-447-8304
- Fax
- 860-447-8720
- Last updated
- August 20, 2026
Shauna Rochelle Blake is a Nurse Practitioner, Family based in New London, CT. Shauna Rochelle Blake practices in New London, CT and has the professional credentials of FNP. The NPI Number for Shauna Rochelle Blake is 1568377604 and holds a License No. 18119 (CT). The current practice location address for Shauna Rochelle Blake is 1 Shaws Cv, New London, CT 06320-4902 and can be reached out via phone at 860-447-8304 and via fax at 860-447-8720.
Provider Profile Details
- NPI Number
- 1568377604
- Provider Name
- Shauna Rochelle Blake
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Shaws Cv, New London, CT 06320-4902
- Phone Number
- 860-447-8304
- Fax Number
- 860-447-8720
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 14, 2026
- Last Update Date
- August 20, 2026
- Certification Date
- August 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Shaws Cv
New London, CT 06320-4902 - City
- New London
- State
- Connecticut
- Zip
- 06320-4902
- Phone Number
- 860-447-8304
- Fax Number
- 860-447-8720
Provider Business Mailing Address Details
- Address
- 19 Grand St
Middletown, CT 06457-2705 - City
- Middletown
- State
- CT
- Zip
- 06457-2705
- Phone Number
- 860-347-6971
- Fax Number
- 860-343-7379
License Information
- License Number
- 18119
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shauna R Blake, FNP?
The NPI number of Shauna R Blake, FNP is 1568377604. It was assigned on August 14, 2026 and is currently active in the NPPES registry.
What is the specialty of Shauna R Blake, FNP?
Shauna R Blake, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 18119.
Where does Shauna R Blake, FNP practice?
The practice location is 1 Shaws Cv, New London, CT 06320-4902. The office can be reached at 860-447-8304 (phone) or 860-447-8720 (fax).
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 1568377604 directly on the NPPES registry website.