Individual provider · Type 1 NPI

Keith Loren Blair, APRN-CNP

Nurse Practitioner · Modesto, CA

NPI number 1710762091 Active

Practice location

1441 Florida Ave
Modesto, CA 95350-4404

Other practice locations

  • 1317 Oakdale Rd Ste 440, Modesto, CA 95355-3364 · (209) 522-3362

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95026892 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1710762091

Keith Loren Blair, APRN-CNP's National Provider Identifier is 1710762091, issued on Aug 25, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Modesto, CA. The record was last updated on Oct 7, 2023.