Danielle Rebecca Blake

Nurse Practitioner · Fenton, MO

Individual Active NPI

NPI number 1265900450

Practice location

1055 Bowles Ave Ste 200
Fenton, MO 63026-2308
Phone
(636) 496-3900

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NPI record

NPI
1265900450
Entity type
Individual (Type 1)
Enumeration date
November 6, 2018
Last updated
December 18, 2024
Certified
December 18, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 2018011508 MO
Registered Nurse 163W00000X 2013025839 MO

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

About Danielle Blake

Danielle Rebecca Blake is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308. The NPI number 1265900450 was assigned on November 6, 2018 and the record was last updated on December 18, 2024.

Danielle Blake lists 2 licenses in the registry: #2018011508 (MO) for Nurse Practitioner; #2013025839 (MO) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Danielle Rebecca Blake?

The NPI number is 1265900450.

What is the phone number of Danielle Blake?

The phone number listed for the practice location is (636) 496-3900.

Where is Danielle Blake located?

1055 Bowles Ave Ste 200, Fenton, MO 63026-2308.

What is the taxonomy code for Danielle Blake?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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