MS. MICHELLE BLAND CERTIFIED BRA FITTER NPI 1134752892

NPI Information

  • NPI: 1134752892
  • Provider Name: MS. MICHELLE BLAND, CERTIFIED BRA FITTER
  • Classification: Mastectomy Fitter - 224900000X
  • Entity Type: Individual
  • Address: 11533 BUSY STREET, MAILBOX #307
    N. CHESTERFIELD, VA
    ZIP 23236
  • Phone: (804) 687-0772

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NPI Details

MS. Michelle Bland, CERTIFIED BRA FITTER is a mastectomy fitter in N. Chesterfield, VA. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. MS. Michelle Bland, CERTIFIED BRA FITTER NPI is 1134752892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11533 BUSY STREET, MAILBOX #307
N. CHESTERFIELD, VA
ZIP 23236
Phone: (804) 687-0772
Fax: (804) 464-1129

The enumeration date for this NPI number is 2/20/2020 and was last updated on 2/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224900000XMastectomy FitterVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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