ELISA M BLAIR


Address: 308 N Mesa St, Fruita, CO 81521-2108
Phone: 9702103767

ELISA M BLAIR (NPI# 1134496300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134496300
Entity Type Individual
Full Name ELISA M BLAIR
Credential RN, BSN
Practice Address 308 N Mesa St
Fruita
CO 81521-2108
Practice Telephone 9702103767
Mailing Telephone 9702103767
Enumeration Date 2011-11-16
Last Update Date 2011-11-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
180531 CO Nursing Service Providers

Office Location

Street Address 308 N MESA ST
City FRUITA
State CO
Zip Code 81521-2108

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1043518822 Jonathan E Blaha Chiropractor 212 E. Aspen Ave, Fruita, CO 81521 2011-03-03
1881916401 Diana L Wright Physician Assistant 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 2010-02-23
1881878759 Elizabeth Arena Rook Internal Medicine 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 2007-12-27
1073715348 Milton Bret Mixon Speech-Language Pathologist 551 Kokopelli Blvd Unit B, Fruita, CO 81521 2007-05-31
1306063748 Scott Douglas Lybrook Dentist 551 Kokopelli Blvd, Suite A, Fruita, CO 81521 2007-04-19
1316060684 Carol Bell Lybrook Dentist 551 Kokopelli Ave.,suite A, Fruita, CO 81521 2007-04-09
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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1235547399 A Higher Standard Home Health Services, Pllc Registered Nurse 8912 Miners Dr, Highlands Ranch, CO 80126-5036 2014-08-01
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1235470576 Agatha Marie Delpozo Registered Nurse 938 Bannock St Ste 100, Denver, CO 80204-4031 2013-03-12
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Competitor

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City FRUITA
Zip Code 81521

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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