IndividualActive
Amanda Blake
NPI 1457070195 · Licensed Practical Nurse · Winchester, VA
Provider details
- NPI number
- 1457070195
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0002079726 (VA)
Mailing address
333 W Cork St
Winchester, VA 22601-3870
Registry dates
- Enumerated
- 2022-08-25
- Last updated
- 2022-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.