Individual
DIANA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
850 S 5TH STREET, GOOD SHEPHERD PHYSICIAN GROUP, ALLENTOWN, PA 18103
(610) 776-3278
(610) 776-3326
Mailing address
850 S 5TH STREET, 5TH FLOOR BILLING, ALLENTOWN, PA 18103
(610) 778-9297
(610) 778-9270
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008866
PA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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