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MISS VIVIAN BERTINE BLUE LPN
NPI 1538817648
Licensed Practical Nurse in Baltimore, MD

Active since March 17, 2022
3455 WILKENS AVE STE LL20, BALTIMORE, MD 21229(443) 836-5573(410) 644-5609 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Vivian Bertine Blue Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS VIVIAN BERTINE BLUE LPN (NPI 1538817648) is an individual licensed practical nurse in Baltimore, Maryland, licensed in Maryland (LP45532) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1538817648
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS VIVIAN BERTINE BLUECredential: LPN
Location Address3455 WILKENS AVE STE LL20Baltimore, MD 21229-5203
Mailing Address3455 Wilkens Ave Ste Ll20Baltimore, MD 21229-5203 · (443) 836-5573 · Fax (410) 644-5609
Phone(443) 836-5573
Fax(410) 644-5609
Sole ProprietorYes
Enumeration DateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1538817648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MD · LP45532
Definition
A licensed practical nurse 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.
3455 WILKENS AVE STE LL20, Baltimore, MD 21229
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSI COLL AA, ADT
Counselor
3455 WILKENS AVE STE LL20
BALTIMORE, MD 21229
Baltimore City (443) 278-8407
JACQUETTA HENRY ADT
Counselor (Addiction (Substance Use Disorder))
3455 WILKENS AVE STE LL20
BALTIMORE, MD 21229
Baltimore City (410) 646-6970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Blue's NPI number?

The NPI number for Vivian Blue is 1538817648. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Where is Vivian Blue located?

Vivian Blue practices at 3455 Wilkens Ave Ste Ll20, Baltimore, MD 21229. The listed phone number is (443) 836-5573.

What is Vivian Blue's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Vivian Blue was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.