Individual
MISTI DAWN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
700 CHILDRENS DRIVE, COLUMBUS, OH 43205
(740) 808-4208
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(740) 808-4208
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.021672
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.021672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243176
—
OH
01
—
H581180
CGS MEDICARE
OH
Enumeration date
09/11/2017
Last updated
03/18/2026
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