ANGELA LYNN BLAKE

RATHDRUM, ID
NPI1598548463
Former NameANGELA LYNN ARAGON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  747465)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: ID  747465)
Enumeration Date2023-08-15
Last Update Date2024-12-19
Business Address
Mrs. ANGELA LYNN BLAKE DNP
16760 N HIGHWAY 41
RATHDRUM, ID 83858-8715
Phone number: 208-687-5627
Mailing Address
Mrs. ANGELA LYNN BLAKE DNP
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299