Patricia Blake
Individual provider Active NPI Registered Nurse · Mandan, ND
NPI 1376993949 · NPPES record last updated Jun 15, 2016
Key facts
- NPI
- 1376993949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R43264 (ND)
- Practice address
- 1200 Collins Ave
Mandan, ND 58554-2066 - Phone
- (701) 663-5373
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| R43264 | ND | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Home Care, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R43264 | ND | Yes |
Addresses
Primary practice location
1200 Collins Ave
Mandan, ND 58554-2066
Mailing address
1200 Collins Ave
Mandan, ND 58554-2066
Phone (701) 663-5373
Other providers in Mandan, ND
- Diana L Billick
- Carole Bingeman
- Bis-Man Eyecare PLLC
- Ana Bischke
- Chelsea Bittner
- Kim Bloms
- Colleen Boehm
- Michelle Bohn
- Tracie Lajuan Bollinger
- Donna Bolme
All providers in Mandan, ND · Registered Nurse in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2016. 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.