Blackburn, Angela

Blackburn, Angela is an sole proprietor health care provider with primary practice located at 31208 Day Lily Dr , Brownstown MI 48173-8768. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blackburn, Angela can be contacted via phone (734) 358-0436.

Contact Information

Primary practice address
31208 Day Lily Dr Brownstown MI 48173-8768
Phone: (734) 358-0436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44704205566 Michigan

Profile Details

NPI number 1457892853
LBN Legal business name Blackburn, Angela
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2017
Last updated Apr 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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