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Individual

MRS. ANGELA PAYNE BLACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024169643
VA
363LA2100X
Acute Care Nurse Practitioner
5009486
NC
363LA2100X
Acute Care Nurse Practitioner
APRN9358792
FL

Other

Enumeration date
09/28/2011
Last updated
05/08/2025
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