← MedicareEnroll
HomeEnrolled Providers

BLAKE R SLACK — Medicare Enrolled Provider (PRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM), MA)

BLAKE R SLACK — Medicare Enrolled Provider (PRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM), MA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: BLAKE R SLACK; Type: Individual; NPI: 1003055591.

NameBLAKE R SLACK
TypeIndividual
NPI1003055591
Provider typePRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM)
StateMA
Enrollment IDI20130523000626
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

🔍 Search all enrolled providers →