# OPHELIA I BLUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043466246
- **Gender:** F
- **Credential:** R.N., N.P., C.N.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN60321915 | WA | — |
| 163W00000X | Registered Nurse | RN682919 | CA | — |
| 163W00000X | Registered Nurse | RN732316 | PA | — |
| 363L00000X | Nurse Practitioner | AP60321916 | WA | Yes |
| 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