Mrs Judith A Blake-krickovich, LPN in Auburn, NY - Clinical Nurse Specialist

Mrs Judith A Blake-krickovich, LPN is a Clinical Nurse Specialist - Adult Health based in Auburn, New York. Mrs Judith A Blake-krickovich is licensed to practice in New York (license number 3645A2200X) and her current practice location is 5 Fort St, Auburn, Auburn, New York. She can be reached at her office (for appointments etc.) via phone at (315) 730-7353.

NPI number for Mrs Judith A Blake-krickovich is 1255636288 and her current mailing address is 5 Fort St, Auburn, Auburn, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255636288.

Contact Information

	Mrs Judith A Blake-krickovich, LPN
	5 Fort St, Auburn, Auburn, NY 13021-3731
	(315) 730-7353
	Not Available

Provider's Profile

Full Name	Mrs Judith A Blake-krickovich
Gender	Female
Speciality	Clinical Nurse Specialist - Adult Health
Location	5 Fort St, Auburn, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1255636288
Provider Enumeration Date: 01/23/2011
Last Update Date: 01/23/2011

Medical Identifiers

Medical identifiers for Mrs Judith A Blake-krickovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255636288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SA2200X	Clinical Nurse Specialist - Adult Health	3645A2200X (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Judith A Blake-krickovich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Judith A Blake-krickovich, LPN 5 Fort St, Auburn, Auburn, NY 13021-3731 Ph: (315) 730-7353	Mrs Judith A Blake-krickovich, LPN 5 Fort St, Auburn, Auburn, NY 13021-3731 Ph: (315) 730-7353

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Mrs Judith A Blake-krickovich, LPN - Clinical Nurse Specialist in Auburn, NY