Individual provider · Type 1 NPI
Olivia Keelin Blake, CRNP
Nurse Practitioner · Wilkes Barre, PA
Practice location
169 N Pennsylvania Ave
Wilkes Barre, PA 18701-3603
Fax (570) 230-0013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP033283 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1902787997
Olivia Keelin Blake, CRNP's National Provider Identifier is 1902787997, issued on Sep 8, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 8, 2025.