Danielle Rebecca Blake
Danielle Rebecca Blake is a Nurse Practitioner in Fenton, Missouri. Qualified in 2017, 9 years ago. Practices with SSM Medical Group Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 9
- Licensed in
- MO
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1055 Bowles Ave Ste 200Fenton, MO 63026-2308
Phone: (636) 496-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 2018011508 (MO) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 2013025839 (MO) |
Record details
| NPI number | 1265900450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 6, 2018 |
| Last updated in NPPES | December 18, 2024 |
| Certification date | December 18, 2024 |
| Mailing address | Po Box 955534, Saint Louis, MO 63195-5534 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Ssm Medical Group Inc — 560 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fenton
-
Michael Andrews, RN
1617 Manufacturers Dr, Fenton, MO 63026-2838 · (314) 690-4500
-
MS. Denise P Blackburn, APRN, FNP-BC
1011 Bowles Ave Ste G10, Fenton, MO 63026-2395 · (314) 965-9980
-
Michelle E Braun, RNBSN
379 Imperial Ln, Fenton, MO 63026-2818 · (850) 512-4553
-
Natasha Marie Byrd
1710 Fenpark Dr # 4, Fenton, MO 63026-2920 · (314) 530-4700
-
Lucia Dinges, RN
774 Gravois Bluffs Blvd, Fenton, MO 63026-7716 · (636) 343-5223
-
Andrea Doerer, RN
205 Stillbrook Estates Dr, Fenton, MO 63026-6505 · (314) 913-3117