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Contact Information

BLUE RIDGE WOUND CARE LLC
2522 COLONIAL AVE SW
ROANOKE, VA24015-3121
 Phone: 540-343-0055
 Fax: 540-627-5055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BLUE RIDGE WOUND CARE LLC · (Female)

NPI # 1952172819
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2024
Last updated 07/11/2025 - About 11 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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