Blevins, Angela

Blevins, Angela is an individual health care provider with primary practice located at 375 Apple Tree Dr , Ionia MI 48846-7506. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blevins, Angela can be contacted via phone (616) 527-1790.

Contact Information

Primary practice address
375 Apple Tree Dr Ionia MI 48846-7506
Fax: (616) 527-0538
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 4704298679 Michigan

Profile Details

NPI number 1205223591
LBN Legal business name Blevins, Angela
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2015
Last updated Apr 24th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205223591 NPPES
Michigan MEDICAID 1715928

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