| Traci Leigh Blake, DNP,ACNPC-AG, CRNFA | |
|
8201 E Riverside Blvd, Rockford, IL 61114-2300 | |
| (815) 971-7000 | |
| Not Available |
| Full Name | Traci Leigh Blake |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 8201 E Riverside Blvd, Rockford, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649543042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WR0006X | Registered Nurse - Registered Nurse First Assistant | 041336983 (Illinois) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 209032163 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Leigh Blake, DNP,ACNPC-AG, CRNFA 2563 W Creedy Rd # 1, Beloit, WI 53511-8707 Ph: () - | Traci Leigh Blake, DNP,ACNPC-AG, CRNFA 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7000 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Mariola U Grzeszczyk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574 |