Blake, Irene

Blake, Irene is an individual health care provider with primary practice located at 8211 Rambling Rose Ln , Laurel MD 20724-1964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Blake, Irene can be contacted via phone (240) 505-2473.

Contact Information

Primary practice address
8211 Rambling Rose Ln Laurel MD 20724-1964
Phone: (240) 505-2473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X RN1009199 District of Columbia

Profile Details

NPI number 1902355803
LBN Legal business name Blake, Irene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2016
Last updated Oct 3rd, 2016 - about 8 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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