Mrs Angela Lynn Blake, DNP | |
16760 N Highway 41, Rathdrum, ID 83858-8715 | |
(208) 687-5627 | |
Not Available |
Full Name | Mrs Angela Lynn Blake |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 16760 N Highway 41, Rathdrum, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598548463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 747465 (Idaho) | Secondary |
363L00000X | Nurse Practitioner | 747465 (Idaho) | Primary |
Entity Name | Dirne Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686477 PECOS PAC ID: 2466353354 Enrollment ID: O20050303001041 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angela Lynn Blake, DNP Po Box 1387, Hayden, ID 83835-1387 Ph: (208) 415-0299 | Mrs Angela Lynn Blake, DNP 16760 N Highway 41, Rathdrum, ID 83858-8715 Ph: (208) 687-5627 |
Kate Elizabeth Reidy, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16760 N Highway 41, Rathdrum, ID 83858 Phone: 208-620-5250 Fax: 844-807-3782 | |
Mrs. Kayle Lynn Mcdonald, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15798 N Mccartney St, Rathdrum, ID 83858 Phone: 760-995-7759 | |
Kathryn Walker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16760 N Highway 41, Rathdrum, ID 83858 Phone: 208-687-5627 |