MRS. DAYNA BLAKE FNP- BC NPI 1548825789

NPI Information

MRS. Dayna Blake, FNP- BC is a primary care nurse practitioner in Fort Mohave, AZ with 6 years of experience. MRS. Dayna Blake, FNP- BC NPI is 1548825789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1611 E JOY LN STE 1
FORT MOHAVE, AZ
ZIP 86426-807
Phone: (928) 768-9496

The NPI 1548825789 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2019 and was last updated on 1/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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