Individual
BLAIR ALLISON MAILLOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
49 STATE RD, NORTH DARTMOUTH, MA 02747-3322
(508) 973-9240
(508) 973-0306
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2333066
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2333066
RN
MA
Enumeration date
02/27/2023
Last updated
11/13/2025
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