Individual
SANDRA L BLAKE
Active
Individual
SANDRA L BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
388248
NC
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
Update your record
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