| Blue Harbor Oasis | |
|
13540 E Boundary Rd Midlothian VA 23112-3943 | |
| (804) 610-4588 | |
| (804) 415-8308 |
| Full Name | Blue Harbor Oasis |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 13540 E Boundary Rd, Midlothian, Virginia |
| Authorized Official Name and Position | Crystal Lashawn Ealy (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 8047952137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Harbor Oasis 13540 E Boundary Rd Midlothian VA 23112-3943 Ph: (804) 610-4588 | Blue Harbor Oasis 13540 E Boundary Rd Midlothian VA 23112-3943 Ph: (804) 610-4588 |
| NPI Number | 1417754813 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417754813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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