Individual
HEATHER DAWN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
364 HOSPITAL DR, CLINTWOOD, VA 24228
(276) 926-0200
(276) 926-6675
Mailing address
364 HOSPITAL DR, CLINTWOOD, VA 24228
(276) 926-0200
(276) 926-6675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170616
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629318324
—
VA
05
—
7100234560
—
KY
Enumeration date
02/18/2013
Last updated
01/27/2017
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