Blake, Amy Susan

Blake, Amy Susan is an individual health care provider with primary practice located at 680 Blair Mill Rd , Horsham PA 19044-2223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blake, Amy Susan can be contacted via phone (302) 304-6341.

Contact Information

Primary practice address
680 Blair Mill Rd Horsham PA 19044-2223
Phone: (302) 304-6341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LG-0000384 Delaware

Profile Details

NPI number 1013978535
LBN Legal business name Blake, Amy Susan
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Aug 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013978535 NPPES
Delaware MEDICAID 1013978535

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