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Organization
BLUE RIVER HEALTH SERVICES, PLLC
Active
Organization
BLUE RIVER HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRITTANY L HICKLEN NP (OWNER)
(919) 234-7798
Entity
Organization
Contact information
Practice address
2715 CHERT LN, RALEIGH, NC 27610-7189
(919) 234-7798
Mailing address
5540 CENTERVIEW DR, STE 204 PMB 777298, RALEIGH, NC 27606
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801596572
INDIVIDUAL NPI
—
Enumeration date
10/22/2024
Last updated
05/05/2026
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