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Individual
HEIDI BLAIR
Active
Individual
HEIDI BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112246-030
WI
363L00000X
Nurse Practitioner
2316-033
WI
363LF0000X
Family Nurse Practitioner
Primary
APRN9495268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41184300
—
WI
Enumeration date
08/02/2005
Last updated
03/20/2019
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