Ms Cynthia J Blake, APRN,BC | |
600 Macinnes Dr, Houghton, MI 49931-1144 | |
(906) 483-1860 | |
(906) 483-1270 |
Full Name | Ms Cynthia J Blake |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 600 Macinnes Dr, Houghton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861463994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP008734 (Pennsylvania) | Primary |
Entity Name | Upper Great Lakes Family Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853 |
Entity Name | Portage Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
Mailing Address | Practice Location Address |
---|---|
Ms Cynthia J Blake, APRN,BC 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-4924 | Ms Cynthia J Blake, APRN,BC 600 Macinnes Dr, Houghton, MI 49931-1144 Ph: (906) 483-1860 |
Beki Asti, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Memorial Rd, Houghton, MI 49931 Phone: 906-482-9400 | |
Christiann Rosemurgy, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Cedar St, Houghton, MI 49931 Phone: 906-487-1710 Fax: 906-487-9421 | |
Heather Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 W Sharon Ave, Houghton, MI 49931 Phone: 906-483-1777 | |
Mrs. Periann G Wasie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Cedar St, Houghton, MI 49931 Phone: 906-487-1710 Fax: 906-487-9421 | |
Joan Z Suits, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 W Lakeshore Dr, Houghton, MI 49931 Phone: 906-487-1710 Fax: 906-487-9421 |