Angela Marie Blake

NPI #1528559119 in Glendale, Wisconsin

Provider Information

NPI Number: 1528559119
Entity Type: Individual
Name: Angela Marie Blake
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: May 20, 2018
Last Updated: May 20, 2018

Practice Location

Address: 500 W SILVER SPRING DR STE 200
City: Glendale
State: Wisconsin
ZIP Code: 53217-5051
Phone: (414) 510-9212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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