Individual
OLIVIA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
147 ALEXANDRIA PIKE # 104, WARRENTON, VA 20186-2947
(540) 952-0285
Mailing address
5383 CASANOVA RD, WARRENTON, VA 20187-8303
(540) 303-3111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024195003
VA
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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