Individual
EMILY DAWN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
13852 US HIGHWAY 160, FORSYTH, MO 65653-5156
(417) 546-3500
(417) 546-3343
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022002790
MO
Other
Enumeration date
03/14/2022
Last updated
02/06/2024
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