SHIRONDA BLAKE, NP
Nurse Practitioner - Family
Active
Individual
NPI: 1306510805
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 221102 (LA) |
Frequently Asked Questions
NPI 1306510805 is the National Provider Identifier for SHIRONDA BLAKE, NP, a Nurse Practitioner - Family provider located in Shreveport, LA. This NPI was enumerated on August 6, 2021.
SHIRONDA BLAKE, NP practices at 3217 MABEL ST, Shreveport, LA 71103.
Quick Facts
- NPI
- 1306510805
- Type
- Individual
- Enumerated
- Aug 6, 2021
- Last Updated
- Aug 11, 2022
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