NPI 1407931595 · live from the CMS NPI Registry
Karen E. Blake, APN
Nurse Practitioner in Bryn Mawr, PA. National Provider Identifier 1407931595, active.
NPI record
| NPI | 1407931595 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | Bryn Mawr Hospital, 130 S. Bryn Mawr Ave., Bryn Mawr, PA 19010 |
| Practice phone | 610-526-4261 |
| Mailing address | Po Box 191, Provider Enrollment Dept, Rockland, DE 19732 |
| Enumerated | October 26, 2006 |
| Last updated | September 3, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | RN293310L (PA) |
| Nurse Practitioner, Neonatal | 363LN0000X | RN293310L (PA) |
| Nurse Practitioner, Neonatal, Critical Care | 363LN0005X | RN293310L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.