Traci Leigh Blake is a Rockford, Illinois based nurse practitioner. Active license number of Traci Leigh Blake is 209032163 for Acute Care in Illinois. Her current practice location is 8201 E Riverside Blvd, Rockford. Patients can reach her at 815-971-7000. Traci Leigh Blake is DNP,ACNPC-AG, CRNFA and her NPI number (Unique professional ID assigned by NPPES) is 1649543042. Traci Leigh Blake has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Traci Leigh Blake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Traci Leigh Blake
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
DNP,ACNPC-AG, CRNFA
Practice Address:
8201 E Riverside Blvd, Rockford, Illinois, 61114-2300
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1649543042
NPI Enumeration Date:
15 Feb, 2012
NPI Last Update On:
10 Apr, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Traci Leigh Blake are as mentioned below.
License Number
Specialization
State
Status
209032163
Acute Care
Illinois
Primary
041336983
Registered Nurse
Illinois
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.