Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelica Marie Blake, FNP

Individual provider Family Nurse Practitioner · NPI 1114813706

Angelica Marie Blake, FNP is a Nurse Practitioner in Soldotna, Alaska. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Alaska.

Years since qualifying
1
Licensed in
AK
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

41701 Tischer Ave
Soldotna, AK 99669-8504
Phone: (907) 690-3196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 239396 (AK)

Record details

NPI number1114813706
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 18, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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