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Miss Vivian Bertine Blue, LPN
Licensed Practical Nurse in Baltimore, Maryland
NPI 1538817648

Vivian Bertine Blue is a Licensed Practical Nurse based in Baltimore, MD. Vivian Bertine Blue practices in Baltimore, MD and has the professional credentials of LPN. The NPI Number for Vivian Bertine Blue is 1538817648 and holds a License No. LP45532 (Maryland).

The current practice location address for Vivian Bertine Blue is 3455 Wilkens Ave Ste Ll20, Baltimore, MD and can be reached out via phone at 443-836-5573 and via fax at 410-644-5609.

Location: 3455 Wilkens Ave Ste Ll20, Baltimore, MD, 21229-5203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538817648
Provider Name
Vivian Bertine Blue
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3455 Wilkens Ave Ste Ll20, Baltimore, MD, 21229-5203
Phone Number
443-836-5573
Fax Number
410-644-5609
Provider Enumeration Date
03/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3455 Wilkens Ave Ste Ll20
City
Baltimore
State
Maryland
Zip
21229-5203
Phone Number
443-836-5573
Fax Number
410-644-5609
person
Provider Business Mailing Address Details
Address
3455 Wilkens Ave Ste Ll20
City
Baltimore
State
Maryland
Zip
21229-5203
Phone Number
443-836-5573
Fax Number
410-644-5609
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP45532 (Maryland)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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