MR. Charles Edward Blake, FNP-BC is a family nurse practitioner in Phoenix, AZ with 19 years of experience. MR. Charles Edward Blake, FNP-BC NPI is 1972666154. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3141 N 3RD AVE
SUITE 100
PHOENIX, AZ
ZIP 85013-351
Phone: (602) 689-6118
Fax: (602) 938-7277
The NPI 1972666154 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 12/18/2006 and was last updated on 7/8/2010.