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

Andrew T Blake, RN

Individual provider Registered Nurse · NPI 1780505891

Andrew T Blake, RN is a Registered Nurse in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

2350 Cleveland Ave N
Roseville, MN 55113-2701
Phone: (507) 850-1100
Fax: (651) 493-4247
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2499974 (MN)

Record details

NPI number1780505891
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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