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Victoria Blake

Licensed Practical Nurse in Portland, ME. Individual provider (NPI-1).

NPI number1801468533
StatusActive
Last updated in NPPESJul 13, 2021

Details

NPI
1801468533
Entity type
Individual (NPI-1)
Name
Victoria Blake
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2021
Certification date
Jul 13, 2021
Last updated
Jul 13, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NursePN5238837FLYes

Practice location

2300 Congress St
Portland, ME 04102-1908

Phone 207-221-2292

Mailing address

62 Wainwright Cir W
South Portland, ME 04106-2522

Phone 850-529-6764

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Licensed Practical Nurse providers in Portland, ME

All 6 Licensed Practical Nurse providers in Portland · All 7,184 providers in Portland

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