Ms. MIRANDA FORDHAM BLAIS WHNP-BC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Women's Health
Provider Information
- NPI Number
1639607625- Provider Type
- Individual Provider (NPI-1)
- Credentials
- WHNP-BC
- Status
- Active
Contact & Location
- Address
- 3369 BUFORD HWY NE STE 810A, BROOKHAVEN, GA, 303291742
- Phone
- (404) 321-4692
Specialties & Taxonomies
Obstetrics & Gynecology
License: GA #RN216488
Nurse Practitioner, Women's Health
Primary License: GA #RN216488