Individual
AMANDA BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2775 NW 49TH AVE UNIT 205, OCALA, FL 34482-6213
(480) 868-0228
Mailing address
2775 NW 49TH AVE UNIT 205, OCALA, FL 34482-6213
(480) 868-0228
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11036092
FL
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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