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

Heather M Blake, NNP

Individual provider Neonatal Nurse Practitioner · NPI 1205617164

Heather M Blake, NNP is a Neonatal Nurse Practitioner in Dearborn, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone: (313) 593-7435
Show map & directions

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

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 4704300929 (MI)

Record details

NPI number1205617164
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP
Sole proprietorYes
NPI enumeratedOctober 6, 2023
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023
Mailing address15228 Warwick Ave, Allen Park, MI 48101-2969

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