Individual provider · Type 1 NPI

Angelica Maria Blackwell

Family Nurse Practitioner · Dallas, TX

NPI number 1467917088 Active

Practice location

4055 Valley View Ln Ste 700
Dallas, TX 75244-5045

Mailing address

PO Box 1385
Ozark, MO 65721-1385

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2019007961 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1467917088

Angelica Maria Blackwell's National Provider Identifier is 1467917088, issued on Feb 7, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Aug 18, 2021.