Individual
CHRISTOPHER BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP-BC
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(256) 599-2058
Mailing address
116 KINGSTON CT, BIRMINGHAM, AL 35211-7900
(256) 599-2058
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-153810
AL
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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