Individual
CHRISTINE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1401 CREES ST, WEST LIBERTY, IA 52776-1029
(319) 627-2131
(319) 627-2087
Mailing address
540 E JEFFERSON ST, SUITE 305, IOWA CITY, IA 52245-2477
(319) 339-3672
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A139948
IA
Other
Enumeration date
01/10/2008
Last updated
03/15/2016
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