IndividualActive
Irene Blake
NPI 1902355803 · Critical Care Pediatric Nurse Practitioner · Laurel, MD
Provider details
- NPI number
- 1902355803
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN1009199 (DC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8211 Rambling Rose Ln
Laurel, MD 20724-1964
Phone: (240) 505-2473
Approximate (ZIP-level) locationGet directions
Mailing address
8211 Rambling Rose Ln
Laurel, MD 20724-1964
Registry dates
- Enumerated
- 2016-10-03
- Last updated
- 2016-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.