Individual
ANGELA BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
(616) 527-0538
Mailing address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
(616) 527-0538
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704298679
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
04/24/2015
Last updated
04/24/2015
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