National Provider Identifier Database

BLUE RIDGE WOUND CARE LLC
Wound Care


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
* Wound Care 163WW0000X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for BLUE RIDGE WOUND CARE LLC

NPI Number 1952172819
Legal business name
LBN
BLUE RIDGE WOUND CARE LLC
Authorized official JENNIFER WALKER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/10/2024
Last updated 07/11/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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