NPI 1467248039
Nathan Blake, BA
Practice location
- Address
- 1740 Lower Pln, Bradford, VT 05033-8934
- Phone
- (802) 728-4466
- Fax
- (802) 728-4197
- Mailing address
- PO Box G, Randolph, VT 05060-0167
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1467248039
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Apr 2025
- Record last updated
- 18 Apr 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.