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

Mr. Charles Bartlett Blake, RN

Individual provider Registered Nurse · NPI 1043224272

Mr. Charles Bartlett Blake, RN is a Registered Nurse in Nixa, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
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

208 N 36th St
Nixa, MO 65714-7560
Phone: (417) 343-4202
Fax: (417) 869-1521
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 088073 (MO)

Record details

NPI number1043224272
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address208 N 36th St, Nixa, MO 65714-7560

Other providers in Nixa