Lookup NPI Numbers from the NPI Registry
NPI Profile for TRACI L BLAKE in ROCKFORD, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Registered Nurse First Assistant |
163WR0006X |
| NPI # | 1649543042 |
|
| Status | Active | |
| Credentials | DNP,ACNPC-AG, CRNFA | |
| Entity | Individual | |
| Enumeration date | 02/15/2012 | |
| Last updated | 05/01/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRACI L BLAKE
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TRACI L BLAKE, DNP,ACNPC-AG, CRNFA