Individual
MRS. BLAIR CAROLINE RIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 MARKET RIDGE LN, DALEVILLE, VA 24083-3258
(540) 966-0400
Mailing address
130 CHARLESTON PL, DALEVILLE, VA 24083-3126
(540) 353-2760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179497
VA
Other
Enumeration date
05/20/2020
Last updated
07/30/2021
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