Individual provider · Type 1 NPI
Miriam S. Blau, R.N., P.N.P.
Pediatric Nurse Practitioner · Staten Island, NY
NPI number
1780884205
Active
Practice location
7 Ismay St
Staten Island, NY 10314-5019
Fax (718) 815-8122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 520046-1 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381940 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1780884205
Miriam S. Blau, R.N., P.N.P.'s National Provider Identifier is 1780884205, issued on Jul 23, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Staten Island, NY. The record was last updated on Oct 10, 2019.