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

Nadia R Blake

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114613411

Nadia R Blake is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4910 E Chandler Blvd
Phoenix, AZ 85048-0866
Phone: (480) 562-5129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11100 Euclid Ave, Cleveland, OH 44106-1716 — (340) 626-1641

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D012280 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114613411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2023
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address4910 E Chandler Blvd, Phoenix, AZ 85048-0866

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