Individual
LUXIA BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.G.N.P.-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
585608-1
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F308780
NY
Other
Enumeration date
05/22/2010
Last updated
08/10/2020
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