Individual
IRENE F BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 595-2655
(508) 854-0822
Mailing address
5 NEPONSET ST FL 12, WORCESTER, MA 01606-2714
(508) 595-2655
(508) 854-0822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
144383
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
THREE RIVERS
—
01
—
042472266002
TRICARE
—
01
—
381321
MVP HEALTH CARE
—
01
—
57181
FALLON COMM HEALTH PLAN
—
01
—
8301269
EVERCARE
—
01
—
AA459
HARVARD PILGRIM HLTHCARE
—
01
—
NP3378
BLUE SHIELD INDEMNITY
—
Enumeration date
02/27/2006
Last updated
09/26/2018
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