PETER JOHN BLAIR RN CNP NPI 1811952641

NPI Information

NPI: 1811952641
Provider Name: PETER JOHN BLAIR, RN, CNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
1200 6TH AVE N
CENTRA CARE CLINIC
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 252-5131
Get Directions

Peter John Blair, RN, CNP is a neonatal nurse practitioner in Saint Cloud, MN. Peter John Blair, RN, CNP NPI is 1811952641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 6TH AVE N
CENTRA CARE CLINIC
SAINT CLOUD, MN
ZIP 56303-735
Phone: (320) 252-5131

The NPI 1811952641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 3/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R105679-4	MINNESOTA	No
2	363LN0000X	Nurse Practitioner	Neonatal	R105679-4	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P13577	MEDICARE UPIN
2	500001349	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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