Individual
ANDREA G BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(336) 549-9846
(877) 720-2076
Mailing address
10046 OLD LIBERTY RD, LIBERTY, NC 27298-8071
(366) 622-6000
(336) 622-7818
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
005001746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005001746
NC LICENSE NUMBER
NC
Enumeration date
11/01/2006
Last updated
07/17/2015
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