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Contact Information

ELIZABETH H BLAKE, FNP
576 N AVENUE G
STE E
CROWLEY, LA70526-4441
 Phone: 337-516-2400
 Fax: 337-516-2401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELIZABETH H BLAKE · (Female)

NPI Number 1295152908
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/20/2014
Last updated 05/09/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • LA License # AP07715
Hospital affiliation(s)
  • AMERICAN LEGION HOSPITAL - (Acute Care)
    1305 CROWLEY RAYNE HIGHWAY
    CROWLEY, LA 70526
  • LAFAYETTE GENERAL MEDICAL CENTER - (Acute Care)
    1214 COOLIDGE AVENUE
    LAFAYETTE, LA 70503
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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