Individual provider · Type 1 NPI

Wade Blair, FPMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Lyons, NY

NPI number 1760157424 Active

Practice location

1519 Nye Rd
Lyons, NY 14489-9133

Fax (315) 946-5726

Mailing address

6218 Wadsworth Rd
Wolcott, NY 14590-9613

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X403584 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1760157424

Wade Blair, FPMHNP-BC's National Provider Identifier is 1760157424, issued on Aug 13, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lyons, NY. The record was last updated on Sep 11, 2021.