Healthcare Provider Details

I. General information

NPI: 1336059302
Provider Name (Legal Business Name): BLUREIGN HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7971 SW 40TH ST UNIT 9
MIAMI FL
33155-6749
US

IV. Provider business mailing address

7971 SW 40TH ST UNIT 9
MIAMI FL
33155-6749
US

V. Phone/Fax

Practice location:
  • Phone: 786-862-1329
  • Fax:
Mailing address:
  • Phone: 786-862-1329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MS. VENESSIA NORVIL
Title or Position: ADMIN
Credential: NURSE PRACTITIONER
Phone: 786-870-9293