NPI 1760767735 · live from the CMS NPI Registry
Wehti Blackledge
Nurse Practitioner, Family in Bowie, MD. National Provider Identifier 1760767735, active.
NPI record
| NPI | 1760767735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 15459 Annapolis Rd, Bowie, MD 20715 |
| Practice phone | 240-544-0676 |
| Mailing address | 5000 Cox Rd, Glen Allen, VA 23060 |
| Enumerated | October 20, 2011 |
| Last updated | February 11, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | R166525 (MD) |
| Nurse Practitioner, Family | 363LF0000X | 1025280 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.