Individual
MS. CYNTHIA J. BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
600 MACINNES DR, HOUGHTON, MI 49931-1144
(906) 483-1860
(906) 483-1270
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 346-4924
(906) 346-6474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP008734
PA
Other
Enumeration date
01/27/2006
Last updated
04/14/2021
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