Provider Demographics
NPI:1851402515
Name:BLANCHET, NADIA P (MD)
Entity Type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:P
Last Name:BLANCHET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9210 FOREST HILL AVENUE
Mailing Address - Street 2:SUITE B1
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6880
Mailing Address - Country:US
Mailing Address - Phone:800-671-8052
Mailing Address - Fax:804-288-3529
Practice Address - Street 1:9210 FOREST HILL AVENUE
Practice Address - Street 2:SUITE B1
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-6880
Practice Address - Country:US
Practice Address - Phone:804-320-8545
Practice Address - Fax:804-288-3529
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010358972086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA69-31502Medicaid
VAB05503Medicare UPIN
VA240000080Medicare ID - Type Unspecified