ANGELA LYNN BLAKE

COEUR D ALENE, 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 Date2023-08-23
Business Address
Mrs. ANGELA LYNN BLAKE DNP
1090 W PARK PL
COEUR D ALENE, ID 83814-2785
Phone number: 208-215-2005
Mailing Address
Mrs. ANGELA LYNN BLAKE DNP
4613 WIRTH DR
COEUR D ALENE, ID 83815-5223
Phone number: 208-964-1460