Individual provider · NPI-1

Dorian R Blake, FNP

Nurse Practitioner, Family · Englewood, CO

NPI number1396233490
StatusActive
Last updated in NPPESFeb 23, 2026

Details

NPI
1396233490
Entity type
Individual (NPI-1)
Name
Dorian R Blake
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2018
Certification date
Feb 23, 2026
Last updated
Feb 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family902855MSYes

Other names

  • Dorian R Clark (Former Name)

Practice location

175 Inverness Dr W Ste 300
Englewood, CO 80112-5069

Phone 720-516-0634 · Fax 720-516-0237

Mailing address

175 Inverness Dr W Ste 300
Englewood, CO 80112-5069

Phone 720-516-0634 · Fax 720-516-0237

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