Teresa Blair is a Family in Warren, Illinois. Teresa Blair practices all healthcare services and medical treatments related to Family. The NPI Number for Teresa Blair is 1629051503. The last update date is 2017-10-18.
Teresa Blair's current location address is 606 Tisdell Ave, Warren, Illinois. You can contact this provider via phone number 8157452644 and fax number 8157452546. The mailing address for Teresa Blair is 606 Tisdell Ave, Warren, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Blair |
|---|---|
| Address | 606 Tisdell Ave, Warren, Illinois |
| Phone Number | 8157452644 |
| Fax Number | 8157452546 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1629051503 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2017-10-18 |
Provider Mailing Address Detail
| Address | 606 Tisdell Ave |
|---|---|
| City | Warren |
| State | Illinois (IL) |
| Post Code | 61087 |
| Phone Number | 8157452644 |
| Fax Number | 8157452546 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209005291 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209005291 | IL | -- |
Post Comment/ Review Below
What is the Teresa Blair's 1629051503?
The Teresa Blair's NPI (National Provider Identifier) Number is 1629051503. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Teresa Blair is physically located?
The Teresa Blair is physically situated at the following address: 606 Tisdell Ave, Warren, IL, 61087.
What is the Teresa Blair's area of specialization and corresponding taxonomy classification?
The Teresa Blair's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did Teresa Blair receive its 1629051503 assignment from the Centers for Medicare & Medicaid Services?
The Teresa Blair was assigned its 1629051503 on 2005-11-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Teresa Blair most recently updated or revised?
The information pertaining to Teresa Blair, including its address, specialty, and other relevant details, was last updated or revised on 2017-10-18.