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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMPERIAL BLUE MEDICAL LLC

Active Organization

IMPERIAL BLUE MEDICAL LLC is a Family Nurse Practitioner organization located in RUCKERSVILLE, Virginia. NPI 1508669052 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · RUCKERSVILLE, VA

Registration Details

NPI Number
1508669052
Provider Type
Organization
NPI Issued
Mar 31, 2025 (1.3585696067499 yrs)
Last Updated
Dec 19, 2025

Practice Information

Address
8296 SEMINOLE TRL
RUCKERSVILLE, VA, 229683492
Browse VA providers · Browse ZIP 22968
Phone
4343267531
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Organizations in RUCKERSVILLE, VA

Name NPI
KKCL HEALTHCARE LLC 1770134967
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.