Mrs. ANGELA LYNN BLAKE DNP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1598548463- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DNP
- Status
- Active
Contact & Location
- Address
- 16760 N HIGHWAY 41, RATHDRUM, ID, 838588715
- Phone
- (208) 687-5627
Specialties & Taxonomies
Nurse Practitioner, Family
License: ID #747465
Nurse Practitioner
Primary License: ID #747465