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

Angelique Blackburn

Individual provider Community Health Worker · NPI 1053692723

Angelique Blackburn is a Community Health Worker in Henderson, Nevada. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

2470 Aladdin Lamp St
Henderson, NV 89002-9375
Phone: (702) 439-1677
Fax: (702) 430-8288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1053692723
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2011
Last updated in NPPESSeptember 7, 2011

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