Individual
ANGELICA MARIE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
41701 TISCHER AVE, SOLDOTNA, AK 99669-8504
(907) 690-3196
Mailing address
41701 TISCHER AVE, SOLDOTNA, AK 99669-8504
(907) 690-3196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
239396
AK
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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