Individual provider · Type 1 NPI
Teresa Blair, APN
Family Nurse Practitioner · Warren, IL
NPI number
1629051503
Active
Practice location
606 Tisdell Ave
Warren, IL 61087
Fax (815) 745-2546
Mailing address
421 W Exchange St, PO Box 268
Freeport, IL 61032-4008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209005291 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1629051503
Teresa Blair, APN's National Provider Identifier is 1629051503, issued on Nov 23, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Warren, IL. The record was last updated on Oct 18, 2017.