Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Blake

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609403179

Andrew Blake is a Student in an Organized Health Care Education/Training Program in Chapel Hill, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

101 Manning Dr
Chapel Hill, NC 27514-4226
Phone: (984) 974-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Brigham And Women'S Hospital, Boston, MA 02115 — (617) 732-5500

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence BLAK-T4IU74 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609403179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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