Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 5006313 | NC |
NPI | 1033551262 |
---|---|
Provider Name | Beth Farmer Blair |
First Address | Hickory, NC 28601-2568 |
Second Address | Hickory, NC 28601-2568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2013 |
Last Update Date | 30/07/2013 |