Blake, Andrea

Blake, Andrea is an individual health care provider with primary practice located at 1111 6Th Ave East Tower Suite A100, Des Moines IA 50314-2610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Blake, Andrea can be contacted via phone (515) 358-0011.

Contact Information

Primary practice address
1111 6Th Ave East Tower Suite A100 Des Moines IA 50314-2610
Phone: (515) 358-0011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R162244 Maryland

Profile Details

NPI number 1174637748
LBN Legal business name Blake, Andrea
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Sep 5th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174637748 NPPES
Iowa MEDICAID 0485813

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