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NPI Code Detail

MEDICARE: ANGELA KAY BLUE FNP-BC

MEDICARE: ANGELA KAY BLUE FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN.0010189-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2APN.0010189-NPOTHERCOMEDICAL LICENSE

General Provider Information

NPI Number : 1457671570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA KAY BLUE FNP-BC
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 2610 TENDERFOOT HILL ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-3981
Country : US
Telephone Number : 719-522-1133
Fax Number : 719-576-2025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 04/15/2026

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