Provider Demographics
NPI:1740378488
Name:BLAKE, ROBIN COLLINS (N D,MSN)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:COLLINS
Last Name:BLAKE
Suffix:
Gender:F
Credentials:N D,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8845 WESTLAWN BLVD
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-2414
Mailing Address - Country:US
Mailing Address - Phone:440-239-0828
Mailing Address - Fax:
Practice Address - Street 1:8845 WESTLAWN BLVD
Practice Address - Street 2:
Practice Address - City:OLMSTED FALLS
Practice Address - State:OH
Practice Address - Zip Code:44138-2414
Practice Address - Country:US
Practice Address - Phone:440-239-0828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-178659163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult