Individual
DR. AMEANTHEA RICA BLANCO-KNEZOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
1300 DIAMOND SPRINGS RD, STE 503, VIRGINIA BEACH, VA 23455
(757) 656-1665
Mailing address
2100 EXECUTIVE DR, HAMPTON, VA 23666
(757) 470-3601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166866
VA
Other
Enumeration date
04/18/2007
Last updated
11/21/2016
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