Individual provider · Type 1 NPI

Angela Blackburn, NP

Nurse Practitioner · Brownstown, MI

NPI number 1457892853 Active

Practice location

31208 Day Lily Dr
Brownstown, MI 48173-8768

Mailing address

31208 Daylilly Dr
Brownstown, MI 48173

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X44704205566 (MI)

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 1457892853

Angela Blackburn, NP's National Provider Identifier is 1457892853, issued on Mar 17, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brownstown, MI. The record was last updated on Apr 26, 2017.