Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Allen-Blaine

Individual provider Registered Nurse · NPI 1063924405

Angela Allen-Blaine is a Nurse Practitioner in Richmond, Virginia. Qualified in 2017, 9 years ago. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1901 E Franklin St Ste 108
Richmond, VA 23223-6966
Phone: (617) 379-0496
Fax: (617) 379-0434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024175587 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001204274 (VA)

Record details

NPI number1063924405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2017
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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