Paula E. Blair, FNP
Nurse Practitioner, Family in Mokena, IL. Individual provider (NPI-1).
NPI number1922307917
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1922307917
- Entity type
- Individual (NPI-1)
- Name
- Ms. Paula E. Blair
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2011
- Certification date
- Mar 6, 2022
- Last updated
- Mar 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209008550 | IL | Yes |
Practice location
11200 W Lincoln HwyMokena, IL 60448-8208
Phone 815-600-4913
Mailing address
11200 Lincoln HwyMokena, IL 60448-8208
Phone 708-995-5072
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