Individual provider · Type 1 NPI
Angela Allen-Blaine
Psychiatric/Mental Health Nurse Practitioner · Richmond, VA
NPI number
1063924405
Active
Practice location
1901 E Franklin St Ste 108
Richmond, VA 23223-6966
Fax (617) 379-0434
Mailing address
PO Box 159
Lawrenceville, VA 23868-0159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0001204274 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0024175587 (VA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063924405
Angela Allen-Blaine's National Provider Identifier is 1063924405, issued on Oct 25, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond, VA. The record was last updated on May 30, 2023.