Individual
MRS. DAYNA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
5221 HWY 95 STE 13, FORT MOHAVE, AZ 86426-9244
(928) 201-8289
(913) 222-1782
Mailing address
PO BOX 10837, FORT MOHAVE, AZ 86427-0837
(928) 201-8289
(913) 222-1782
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
225438
AZ
Other
Enumeration date
05/02/2019
Last updated
01/27/2026
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