IndividualActive
Stedmond Blake
NPI 1902878192 · Licensed Practical Nurse · Ft Wainwright, AK
Stedmond Blake is a Licensed Practical Nurse provider in Ft Wainwright, AK (NPI 1902878192).
Provider details
- NPI number
- 1902878192
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- License
- P5585 (AK)
Practice location
1060 Gaffney Rd
Commander,usa-Maeeac-Ak,attn:mcuc-Mmd-Qm
Ft Wainwright, AK 99703-5001
Phone: (907) 353-5418
Fax: (907) 353-4845
Street-level locationGet directions
Mailing address
1060 Gaffney Rd
Ft Wainwright, AK 99703-5001
Registry dates
- Enumerated
- 2006-02-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.