Danielle Blake, FNP-C
Nurse Practitioner, Family in Detroit, MI. Individual provider (NPI-1).
NPI number1144836701
StatusActive
Last updated in NPPESJun 17, 2024
Details
- NPI
- 1144836701
- Entity type
- Individual (NPI-1)
- Name
- Danielle Blake
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2020
- Certification date
- Jun 17, 2024
- Last updated
- Jun 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704318244 | MI | Yes |
| 363L00000X | Nurse Practitioner | 4704318244 | MI |
Practice location
4100 John R StDetroit, MI 48201-2013
Phone 800-527-6266 · Fax 313-576-8381
Mailing address
1511 N Alexander AveRoyal Oak, MI 48067-3632
Phone 269-720-4962
Other practice locations
1402 W 14 Mile Rd
Clawson, MI 48017-1499
Clawson, MI 48017-1499
Phone 248-435-7414
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