Individual
MRS. NICOLE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5335
Mailing address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5335
(804) 254-5314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024183009
VA
363LF0000X
Family Nurse Practitioner
Primary
0024183009
VA
Other
Enumeration date
10/28/2021
Last updated
09/20/2022
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