IndividualActive
Angelica Blake, FNP
NPI 1114813706 · Family Nurse Practitioner · Soldotna, AK
Provider details
- NPI number
- 1114813706
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 239396 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
41701 Tischer Ave
Soldotna, AK 99669-8504
Phone: (907) 690-3196
Approximate (ZIP-level) locationGet directions
Mailing address
41701 Tischer Ave
Soldotna, AK 99669-8504
Registry dates
- Enumerated
- 2025-06-18
- Last updated
- 2025-06-18
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.