Healthcare Provider Details
I. General information
NPI: 1982428033
Provider Name (Legal Business Name): BLESSING MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2024
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13975 CONNECTICUT AVE STE 250-19
SILVER SPRING MD
20906-2921
US
IV. Provider business mailing address
13975 CONNECTICUT AVE STE 250-19
SILVER SPRING MD
20906-2921
US
V. Phone/Fax
- Phone: 240-335-5888
- Fax: 301-701-6890
- Phone: 240-335-5888
- Fax: 301-701-6890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BLESSING
VONONDE
AYANOU
Title or Position: OWNER
Credential: DNP, CRNP
Phone: 240-335-5888