Individual
KRISTIE J BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
920 N HAMILTON RD STE 200, GAHANNA, OH 43230-1757
(614) 293-3069
(614) 293-9684
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3069
(614) 293-9684
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN.CNP.024341
OH
367A00000X
Advanced Practice Midwife
Primary
APRN.CNM.019312
OH
Other
Enumeration date
01/24/2017
Last updated
04/04/2024
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