Blair, Victoria L

Blair, Victoria L is an individual health care provider with primary practice located at 2001 S Woodruff Ave Ste 15B , Idaho Falls ID 83404-6372. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blair, Victoria L can be contacted via phone (208) 357-4633.

Contact Information

Primary practice address
2001 S Woodruff Ave Ste 15B Idaho Falls ID 83404-6372
Phone: (208) 357-4633
Fax: (208) 419-0690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X N21972 Idaho

Profile Details

NPI number 1629128483
LBN Legal business name Blair, Victoria L
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629128483 NPPES
Idaho Other NP772A NURSE PRACTITIONER
Idaho Other N21972 NURSE PRACTITIONER

Popular Providers