Susan Blair FNP-C

NPI 1790883684 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1790883684
Gender Female
Enumeration Date 09/21/2006
Last Updated 11/20/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
11801 SOUTH FWY
SUITE 338
BURLESON TX, 76028-7021, US
Phone (817) 568-5485
Fax (817) 568-5434
Business Location
11801 SOUTH FWY
SUITE 338
BURLESON TX, 76028-7021, US
Phone (817) 568-5485
Fax (817) 568-5434
Toxanomy
Taxonomy Code 363LF0000X
License State Texas
License Number 230074
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According to our database, Susan Blair FNP-C NPI is 1790883684, taxonomy code is 363LF0000X and license number is 230074, license state is located at Texas. Susan Blair FNP-C physically located at 11801 South Fwy, Burleson TX, 76028-7021. NPI Number Susan Blair FNP-C has the Individual type.

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1790883684 NPI number is provided on an as is basis without warranty of any kind. 1790883684 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Blair FNP-C are for informational purposes only.