Individual
CHANTAL BLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL - BIGELOW 10, BOSTON, MA 02114-2621
(617) 726-3700
Mailing address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL - BIGELOW 10, BOSTON, MA 02114-2621
(617) 726-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN272748
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN272748
MA
Other
Enumeration date
01/22/2015
Last updated
03/02/2017
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