# PROMETHEAN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538699038
- **Authorized official:** DR. AMEANTHEA BLANCO-KNEZOVICH DNP, FNP-C (DIRECTOR)
- **Authorized official phone:** (757) 470-3601

## Contact information

- **Practice address:** 3920 VANDERHORST DR, VIRGINIA BEACH, VA 23462-7531
- **Practice address phone:** (757) 828-6612
- **Mailing address:** 3920 VANDERHORST DR, VIRGINIA BEACH, VA 23462-7531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2017
- **Last updated:** 06/16/2017