IndividualActive
Blake Mcmillian, RN
NPI 1659946671 · Registered Nurse · Pawtucket, RI
Provider details
- NPI number
- 1659946671
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 798064 (NY)
Practice location
101 Bacon St
Pawtucket, RI 02860-5542
Phone: (401) 722-3560
Fax: (401) 722-3593
Mailing address
325 W 45th St Apt 803a
New York, NY 10036-0077
Registry dates
- Enumerated
- 2021-05-21
- Last updated
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.