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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

NPI Number 1952172819
LBN Legal business name BLUE RIDGE WOUND CARE LLC
Authorized official JENNIFER WALKER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2024
Last updated 07/11/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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