Individual provider · Type 1 NPI
Olivia Blake
Physician Assistant · Largo, MD
Practice location
901 Harry S Truman Dr N
Largo, MD 20774-5477
Mailing address
1205 Town Side Dr
Apex, NC 27502-6803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | C0010592 (MD) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1053264689
Olivia Blake's National Provider Identifier is 1053264689, issued on Feb 16, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Largo, MD. The record was last updated on Oct 29, 2026.