Christine Blake APRN

NPI 1184800021 - Family Medicine - 207Q00000X

NPI Details
NPI 1184800021
Gender Female
Enumeration Date 01/10/2008
Last Updated 08/05/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
201 S CLINTON ST
SUITE 195
IOWA CITY IA, 52240-4034, US
Phone (319) 384-8822
Fax (319) 384-0603
Business Location
2346 MORMON TREK BLVD
SUITE 1500
IOWA CITY IA, 52246-4371, US
Phone (319) 384-8822
Fax (860) 896-1425
Toxanomy
Taxonomy Code 207Q00000X
License State Connecticut
License Number 003727
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According to our database, Christine Blake APRN NPI is 1184800021, taxonomy code is 207Q00000X and license number is 003727, license state is located at Connecticut. Christine Blake APRN physically located at 201 S Clinton St, Iowa City IA, 52240-4034. NPI Number Christine Blake APRN has the Individual type.

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1184800021 NPI number is provided on an as is basis without warranty of any kind. 1184800021 is maintained by the National Plan & Provider Enumeration System. The contents of Christine Blake APRN are for informational purposes only.