Mrs. Claudette L Blake, APRN
Nurse Practitioner, Psych/Mental Health in Mountainside, New Jersey
1841804960- Practice location
- 1199 Route 22, Mountainside, NJ 07092-2807
- Phone
- 908-228-5100
- Fax
- 908-228-5115
- Last updated
- February 20, 2024
Claudette L Blake is a Nurse Practitioner, Psych/Mental Health based in Mountainside, NJ. Claudette L Blake practices in Mountainside, NJ and has the professional credentials of APRN. The NPI Number for Claudette L Blake is 1841804960 and holds a License No. 26NJ01050200 (NJ). The current practice location address for Claudette L Blake is 1199 Route 22, Mountainside, NJ 07092-2807 and can be reached out via phone at 908-228-5100 and via fax at 908-228-5115.
Provider Profile Details
- NPI Number
- 1841804960
- Provider Name
- Claudette L Blake
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1199 Route 22, Mountainside, NJ 07092-2807
- Phone Number
- 908-228-5100
- Fax Number
- 908-228-5115
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 4, 2020
- Last Update Date
- February 20, 2024
- Certification Date
- February 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1199 Route 22
Mountainside, NJ 07092-2807 - City
- Mountainside
- State
- New Jersey
- Zip
- 07092-2807
- Phone Number
- 908-228-5100
- Fax Number
- 908-228-5115
Provider Business Mailing Address Details
- Address
- 1199 Route 22
Mountainside, NJ 07092-2807 - City
- Mountainside
- State
- NJ
- Zip
- 07092-2807
- Phone Number
- 908-228-5100
License Information
- License Number
- 26NJ01050200
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Mrs. Claudette L Blake, APRN?
The NPI number of Mrs. Claudette L Blake, APRN is 1841804960. It was assigned on September 4, 2020 and is currently active in the NPPES registry.
What is the specialty of Mrs. Claudette L Blake, APRN?
Mrs. Claudette L Blake, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ01050200.
Where does Mrs. Claudette L Blake, APRN practice?
The practice location is 1199 Route 22, Mountainside, NJ 07092-2807. The office can be reached at 908-228-5100 (phone) or 908-228-5115 (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 1841804960 directly on the NPPES registry website.