Individual
SHELBY E BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-5514
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
131475
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2364136
MA
Other
Enumeration date
01/05/2021
Last updated
11/13/2023
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