Mr Gregory Alen Blake Jr, MSN, APRN, FNP-BC | |
1636 Tunis Dr, Harrison, OH 45030-2834 | |
(513) 265-3449 | |
Not Available |
Full Name | Mr Gregory Alen Blake Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1636 Tunis Dr, Harrison, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780150060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.023765 (Ohio) | Primary |
Entity Name | Welden Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306102 PECOS PAC ID: 9830144120 Enrollment ID: O20050321000071 |
Mailing Address | Practice Location Address |
---|---|
Mr Gregory Alen Blake Jr, MSN, APRN, FNP-BC 1636 Tunis Dr, Harrison, OH 45030-2834 Ph: (513) 265-3449 | Mr Gregory Alen Blake Jr, MSN, APRN, FNP-BC 1636 Tunis Dr, Harrison, OH 45030-2834 Ph: (513) 265-3449 |
Desiree Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10477 Harrison Ave, Harrison, OH 45030 Phone: 513-202-8283 | |
Mrs. Kathy Ann Hildebrecht, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10477 Harrison Ave, Harrison, OH 45030 Phone: 513-202-8283 | |
Kelsey Marie Holdcraft, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10477 Harrison Ave, Harrison, OH 45030 Phone: 513-202-8283 | |
Lisa Lengerich, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10450 New Haven Rd, Harrison, OH 45030 Phone: 513-981-5852 Fax: 513-367-8031 | |
Juliana Watts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1529 Abigail Ct, Harrison, OH 45030 Phone: 513-728-5082 | |
Stephanie Barnett, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10541 Harrison Ave, Harrison, OH 45030 Phone: 513-202-0124 | |
Sarah Wylds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10541 Harrison Ave, Harrison, OH 45030 Phone: 513-202-0134 |