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

Marisa Beth Blake, LPN

Individual provider Licensed Practical Nurse · NPI 1417534108

Marisa Beth Blake, LPN is a Licensed Practical Nurse in Plattsburgh, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

75 Oak St
Plattsburgh, NY 12901-1805
Phone: (518) 562-8119
Fax: (518) 562-8126
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 311803 (NY)

Record details

NPI number1417534108
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedMarch 27, 2021
Last updated in NPPESMarch 27, 2021
Certification dateMarch 27, 2021
Mailing address75 Oak St, Plattsburgh, NY 12901-1805

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