Organization · Type 2 NPI
Imperial Blue Medical LLC
Family Nurse Practitioner · Ruckersville, VA
NPI number
1508669052
Active
Practice location
8296 Seminole Trl
Ruckersville, VA 22968-3492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Ruckersville
About NPI 1508669052
Imperial Blue Medical LLC's National Provider Identifier is 1508669052, issued on Mar 31, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ruckersville, VA. The record was last updated on Jun 10, 2026.