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Irene Blake
Critical Care Pediatric Nurse Practitioner in Laurel, Maryland
NPI 1902355803

Irene Blake is a Critical Care Pediatric Nurse Practitioner based in Laurel, MD and is specialized in Pediatrics, Critical Care. Irene Blake practices in Laurel, MD. The NPI Number for Irene Blake is 1902355803 and holds a License No. RN1009199 (Maryland).

The current practice location address for Irene Blake is 8211 Rambling Rose Ln, Laurel, MD and can be reached out via phone at 240-505-2473.

Location: 8211 Rambling Rose Ln, Laurel, MD, 20724-1964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902355803
Provider Name
Irene Blake
Credential
Provider Entity Type
Individual
Gender
Female
Address
8211 Rambling Rose Ln, Laurel, MD, 20724-1964
Phone Number
240-505-2473
Fax Number
Provider Enumeration Date
10/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8211 Rambling Rose Ln
City
Laurel
State
Maryland
Zip
20724-1964
Phone Number
240-505-2473
Fax Number
person
Provider Business Mailing Address Details
Address
8211 Rambling Rose Ln
City
Laurel
State
Maryland
Zip
20724-1964
Phone Number
240-505-2473
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
363LP0222X
License No.
RN1009199 (District of Columbia)
Definition
Definition to come...
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