Individual provider · Type 1 NPI
Angela Holt Blackburn, APRN, CNP
Nurse Practitioner · Palos Heights, IL
Practice location
12251 S 80th Ave
Palos Heights, IL 60463-1290
Fax (708) 226-2390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209034971 (IL) |
| Nurse Practitioner | 363L00000X | 145108 (NC) |
| Family Nurse Practitioner | 363LF0000X | 145108 (NC) |
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 1780646406
Angela Holt Blackburn, APRN, CNP's National Provider Identifier is 1780646406, issued on Apr 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Palos Heights, IL. The record was last updated on Jun 2, 2026.