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Individual
OPHELIA I BLUE
Active
Individual
OPHELIA I BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., N.P., C.N.S.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60321915
WA
163W00000X
Registered Nurse
RN682919
CA
163W00000X
Registered Nurse
RN732316
PA
363L00000X
Nurse Practitioner
Primary
AP60321916
WA
363L00000X
Nurse Practitioner
NPF18319
CA
363L00000X
Nurse Practitioner
SP023760
PA
364S00000X
Clinical Nurse Specialist
CNS000331
PA
364S00000X
Clinical Nurse Specialist
CNS3003
CA
Other
Enumeration date
08/07/2008
Last updated
03/09/2022
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