Individual provider · Type 1 NPI

Beverly Diana Blair

Licensed Vocational Nurse · Weatherford, TX

NPI number 1104434810 Active

Practice location

870 Columbia Drive, Weatherford
Weatherford, TX 76086

Call (817) 694-3591 Map

Mailing address

PO Box 1867
Weatherford, TX 76086-7867

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	321418 (TX)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1104434810

Beverly Diana Blair's National Provider Identifier is 1104434810, issued on Jul 20, 2020. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Weatherford, TX. The record was last updated on Jul 20, 2020.