Individual
MRS. CLAUDETTE L BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1199 ROUTE 22, MOUNTAINSIDE, NJ 07092-2807
(908) 228-5100
(908) 228-5115
Mailing address
1199 ROUTE 22, MOUNTAINSIDE, NJ 07092-2807
(908) 228-5100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01050200
NJ
Other
Enumeration date
09/04/2020
Last updated
02/20/2024
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