NPI 1376410589
Samantha Renea Blake, CNMRNIBCLC
Practice location
- Address
- 6119 Midtown Ave, Little Rock, AR 72205-5313
- Phone
- (501) 296-1800
- Fax
- (501) 296-1711
- Mailing address
- 4301 W Markham St # 783, Little Rock, AR 72205-7101
Registered specialties (3)
Advanced Practice Midwife
Primary
Perinatal Nurse Practitioner
Obstetrics & Gynecology Nurse Practitioner
Registry record
- NPI
- 1376410589
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Oct 2025
- Record last updated
- 7 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.