Miranda Fordham Blais, WHNP-BC
Nurse Practitioner, Women's Health in Brookhaven, GA. Individual provider (NPI-1).
NPI number1639607625
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1639607625
- Entity type
- Individual (NPI-1)
- Name
- Ms. Miranda Fordham Blais
- Credential
- WHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2017
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | RN216488 | GA | Yes |
| 207V00000X | Obstetrics & Gynecology | RN216488 | GA |
Practice location
3369 Buford Hwy Ne Ste 810aBrookhaven, GA 30329-1742
Phone 404-321-4692
Mailing address
491 Park Valley Dr NwAtlanta, GA 30318-6251
Phone 706-248-6020
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nurse Practitioner, Women's Health providers in Brookhaven, GA
- Kelsey AbbottNPI 1841885720
- Garcia AbrahamNPI 1902731987
- Dr. Modupe Agbeyomi, DNP, FNP-CNPI 1245715903
- Leigh Fisher Applegate, MSN, RN, FNP-CNPI 1689256893
- Bliss Healthcare Solutions LLCNPI 1982527552
- Kristie Erin Bobek, FNP-CNPI 1740043629
- Brooke Anne Boccaccio, APRN-NPNPI 1093203465
- Cinnamon BrownNPI 1346113206
- Monica Yvonne Castro, MSN, FNP-BCNPI 1841865557
- Shaowen Cheng, FNP-BCNPI 1871382358
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.