Organization
BLUE RIDGE MIND AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE WHITTAKER DNP PMHNP-BC FNP-BC (NURSE PRACTITIONER)
(540) 467-3199
Entity
Organization
Contact information
Practice address
4970 N SPRING DR, ROANOKE, VA 24019
(540) 467-3199
Mailing address
115 ROANOKE BLVD # 5016, SALEM, VA 24153-4907
(540) 467-3199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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