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NPI Code Detail

MEDICARE: BLAKE EWING

MEDICARE: BLAKE EWING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideNV

General Provider Information

NPI Number : 1174472401
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAKE EWING
Provider Business Mailing Address
First Line : 10476 MORNING SORROW ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7983
Country : US
Telephone Number : 702-419-4187
Fax Number :
Provider Business Practice Location Address
First Line : 3930 HOWARD HUGHES PKWY STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0946
Country : US
Telephone Number : 702-560-2217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ BLAKE EWING ” Practice Location

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