Healthcare Provider Details

I. General information

NPI: 1851402515
Provider Name (Legal Business Name): NADIA P BLANCHET M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 11/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9210 FOREST HILL AVENUE SUITE B1
RICHMOND VA
23235-6880
US

IV. Provider business mailing address

9210 FOREST HILL AVENUE SUITE B1
RICHMOND VA
23235-6880
US

V. Phone/Fax

Practice location:
  • Phone: 804-320-8545
  • Fax: 804-288-3529
Mailing address:
  • Phone: 800-671-8052
  • Fax: 804-288-3529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number0101035897
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: