Individual
ELISA M BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
308 N MESA ST, FRUITA, CO 81521-2108
(970) 210-3767
Mailing address
308 N MESA ST, FRUITA, CO 81521-2108
(970) 210-3767
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
180531
CO
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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