Type 1 individualNPI 1003612136
ANGELA BLAKE
372500000X · LINCOLN, NE
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 372500000X | 372500000X | Primary |
| 372600000X | 372600000X | Additional |
| 3747P1801X | 3747P1801X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s