Blake Morrow
Individual provider Active NPI Licensed Practical Nurse · Black Hawk, CO
NPI 1235947508 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1235947508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PM.0338559 (CO)
- Practice address
- 515 Coyote Cir
Black Hawk, CO 80422-8711 - Phone
- (903) 720-2574
- NPI assigned
- Dec 19, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PM.0338559 | CO | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PM.0338559 | CO | Yes |
Addresses
Primary practice location
515 Coyote Cir
Black Hawk, CO 80422-8711
Mailing address
515 Coyote Cir
Black Hawk, CO 80422-8711
Other providers in Black Hawk, CO
- Jefferson Center for Mental Health
- Brook Jordan
- Jonelle Kirkpatrick
- Jason Alexander Kopen
- Heather Kuder
- Mountain Family Health Centers
- Mountain Family Health Centers
- Jessica Nahapetian
- Angelyn Fitzpatrick Ritt
- Teresa Kathryn Ross
All providers in Black Hawk, CO · Licensed Practical Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.