IndividualActive
Marisa Blake, LPN
NPI 1417534108 · Licensed Practical Nurse · Plattsburgh, NY
Marisa Blake, LPN is a Licensed Practical Nurse provider in Plattsburgh, NY (NPI 1417534108).
Provider details
- NPI number
- 1417534108
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 311803 (NY)
Practice location
75 Oak St
Plattsburgh, NY 12901-1805
Phone: (518) 562-8119
Fax: (518) 562-8126
Street-level locationGet directions
Mailing address
75 Oak St
Plattsburgh, NY 12901-1805
Registry dates
- Enumerated
- 2021-03-27
- Last updated
- 2021-03-27
- Certified
- 2021-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.