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

Tara Nicole Blake

Individual provider Licensed Practical Nurse · NPI 1487519898

Tara Nicole Blake is a Licensed Practical Nurse in Peterstown, West Virginia. Licensed in West Virginia. Registered with an NPI since 2025.

Licensed in
WV
In the registry since
2025

Practice location Address checks out

3633 Seneca Trl S
Peterstown, WV 24963-5063
Phone: (304) 994-1490
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 37492 (WV)

Record details

NPI number1487519898
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address3633 Seneca Trl S, Peterstown, WV 24963-5063

Other providers in Peterstown