Gordon R Blair, CRNP
Nurse Practitioner, Family in Cullman, AL. Individual provider (NPI-1).
NPI number1275633893
StatusActive
Last updated in NPPESApr 18, 2008
Details
- NPI
- 1275633893
- Entity type
- Individual (NPI-1)
- Name
- Gordon R Blair
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2006
- Last updated
- Apr 18, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1046758 | AL | Yes |
Practice location
1701 Main Ave SwSuite A
Cullman, AL 35055-5299
Phone 256-737-0880
Mailing address
Po Box 870Cullman, AL 35056-0870
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All 79 Family Nurse Practitioner providers in Cullman · All 1,294 providers in Cullman
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