Individual
BETH NICOLE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
Mailing address
8866 HILLSIDE DR, NEWBURGH, IN 47630-2283
(812) 760-9472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
945242
IN
Other
Enumeration date
11/14/2011
Last updated
02/25/2020
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