Most Relevant Information
Provider Data
| NPI Number: | 1003032095 |
| Provider Name: | AMEANTHEA RICA BLANCO-KNEZOVICH DNP, FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024166866 |
Most Important Dates
| Enumeration Date: | 04/18/2007 |
| Last Updated: | 11/21/2016 |
Provider Practice Location
1300 DIAMOND SPRINGS RD
STE 503
VIRGINIA BEACH
VA
23455
Practice Location Phone/Fax
| Phone: | 7576561665 |
| Fax: |
Provider Mailing Location
2100 EXECUTIVE DR
HAMPTON
VA
23666
Provider Mailing Phone/Fax
| Phone: | 7574703601 |
| Fax: |