Individual
JOSHUA DANIEL BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5000
Mailing address
PO BOX 173891, DENVER, CO 80217-3891
(877) 346-2211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0995796-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000198637
—
CO
Enumeration date
08/26/2021
Last updated
07/10/2025
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