| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ERICA N BLAKE | 1598497984 | 2022-06-26 |
Erica N Blake is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598497984. Registration indicates Erica N Blake is a provider of services with a specialization in Nursing Service Providers, Licensed Practical Nurse (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Erica N Blake LPN |
| Practice Office Address | 332 6TH AVE SOUTH CHARLESTO, WV US |
| Practice Office Telephone | 3047579333 |
| Mailing Address | 158 HIGHLAWN AVE MILTON, WV 255418553 US |
| Business Telephone | 3043050875 |
| Code | Practice | License No State |
|---|---|---|
| 164W00000X PRIMARY | Nursing Service Providers Licensed Practical Nurse Licensed Practical Nurse Licensed Practical Nurse Nursing Service Providers | 32220
WV |