IndividualActive
Samantha Blake, CNM, RN, IBCLC
NPI 1376410589 · Advanced Practice Midwife · Little Rock, AR
Provider details
- NPI number
- 1376410589
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM, RN, IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- CNM10520 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6119 Midtown Ave
Little Rock, AR 72205-5313
Phone: (501) 296-1800
Fax: (501) 296-1711
Approximate (ZIP-level) locationGet directions
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Additional practice locations (1)
- 4301 W Markham St # 518Little Rock, AR 72205-7199Phone: (501) 614-2006Fax: (501) 526-6562
Registry dates
- Enumerated
- 2025-10-22
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.