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Contact Information

SAMANTHA R BLAKE, CNM, RN, IBCLC
6119 MIDTOWN AVE
LITTLE ROCK, AR72205-5313
 Phone: 501-296-1800
 Fax: 501-296-1711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
 

Perinatal

363LP1700X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAMANTHA R BLAKE · (Female)

NPI # 1376410589
Status Active
Credentials CNM, RN, IBCLC
Entity Individual
Enumeration date 10/22/2025
Last updated 11/07/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • AR License # 235182
  • TX License # CNM10520
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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