Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
NICKETTA BLAIR
Active
Individual
NICKETTA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328397-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328397-1
NYS NURSING LICENSE
NY
Enumeration date
08/08/2018
Last updated
08/08/2018
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