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Mr. MICHAEL PR BLAIR FNP-C

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1487400602
Provider Type
Individual Provider (NPI-1)
Credentials
FNP-C
Status
Active

Contact & Location

Address
216 12TH AVE RD, NAMPA, ID, 836865013
Phone
(208) 880-1928

Specialties & Taxonomies

Registered Nurse, Emergency License: ID #N-45980
Family Medicine Primary License: ID #1361873

All Addresses

MAILING

216 12TH AVE RD

NAMPA, ID, 836865013

(208) 880-1928

LOCATION

216 12TH AVE RD

NAMPA, ID, 836865013

(208) 880-1928