MR. Gregory Alen Blake JR., MSN, APRN, FNP-BC

NPI #1780150060 in Harrison, Ohio

Provider Information

NPI Number
1780150060
Entity Type
Individual
Name
MR. Gregory Alen Blake JR., MSN, APRN, FNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
MSN, APRN, FNP-BC
Enumeration Date
Oct 15, 2018
Last Updated
Oct 15, 2018

Practice Location

Address
1636 TUNIS DR
State
Ohio
ZIP Code
45030-2834
Phone
(513) 265-3449

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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