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Organization
BLOGRAVIC LLC
Active
Organization
BLOGRAVIC LLC
Active
Other names
Blogravic Health Services, Blogravic Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
OLAMIDE M IPEAIYEDA NP (PMHNP)
(804) 821-8922
Entity
Organization
Contact information
Practice address
10100 IRON BRIDGE RD, CHESTERFIELD, VA 23832-6507
(804) 315-0537
(804) 251-2427
Mailing address
10100 IRON BRIDGE RD, CHESTERFIELD, VA 23832-6507
(804) 315-0537
(804) 251-2427
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
12/30/2025
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