Individual
MRS. NICHOLE BLAKE-LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2578 LIMERICK CIR, GRAND ISLAND, FL 32735-9006
(352) 870-3439
(352) 818-4476
Mailing address
2578 LIMERICK CIR, GRAND ISLAND, FL 32735-9006
(352) 870-3439
(352) 818-4476
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9384476
FL
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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