National Provider Identifier
Tyasha C Blake, LPN
Tyasha C Blake, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 254-3693.
Source: public NPPES record, last updated April 01, 2010. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1669797726
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 01, 2010
- Last Updated
- April 01, 2010
Practice Location
- 58 Sherwood Ave
- Rochester, NY 14619-1110
Phone: (585) 254-3693
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Tyasha C. Blake is a Rochester, New York-based licensed practical nurse with a New York LPN credential documented in public provider records. Publicly available sources did not show a health-system affiliation, faculty role, board certification, research profile, or other distinguishing professional background.
Full Record
- NPI
- 1669797726
- Entity Type
- Individual
- Last Name
- Blake
- First Name
- Tyasha
- Middle Name
- C
- Name Prefix
- Miss
- Credential
- LPN
- Mailing Street Address
- 58 Sherwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1110
- Mailing Country
- US
- Mailing Phone
- (585) 254-3693
- Practice Street Address
- 58 Sherwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1110
- Practice Country
- US
- Practice Phone
- (585) 254-3693
- Enumeration Date
- April 01, 2010
- Last Updated
- April 01, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Licensed Practical Nurse (164W00000X)