Individual
CRYSTAL ELAINE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(786) 402-2439
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9362887
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9362887
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9362887
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9362887
FL
Other
Enumeration date
07/20/2016
Last updated
01/19/2017
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