Individual
JANA BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6441 PIZARRO CIR, MADISON, WI 53719-1893
(608) 513-7439
Mailing address
6441 PIZARRO CIR, MADISON, WI 53719-1893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
141786-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38284100
—
WI
Enumeration date
08/14/2008
Last updated
08/14/2008
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