Individual
MRS. SAMANTHA RENEA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
363LP1700X
Perinatal Nurse Practitioner
CNM10520
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
CNM10520
TX
367A00000X
Advanced Practice Midwife
Primary
235182
AR
Other
Enumeration date
10/22/2025
Last updated
11/07/2025
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