| NPI | 1639443146 |
|---|---|
| Former Name | ANGELA D NOWELL BLANCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP3178092) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2018-03-28 |