Individual
MS. MICHELLE CATHERINE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.N.P- B.C.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(407) 303-2528
(407) 303-2760
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(407) 303-2528
(407) 303-2760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN162
SC
363LN0000X
Neonatal Nurse Practitioner
2153732
FL
363LN0000X
Neonatal Nurse Practitioner
930144
NC
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN2153732
FL
Other
Enumeration date
08/26/2014
Last updated
05/14/2026
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