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Glen S Blair, CNP
Adult Health Nurse Practitioner in Wellesley, Massachusetts
NPI 1629047873

Glen S Blair is an Adult Health Nurse Practitioner based in Dorchester, MA and is specialized in Adult Health. Glen S Blair practices in Wellesley, MA and has the professional credentials of CNP. The NPI Number for Glen S Blair is 1629047873 and holds a License No. RN157507 (Massachusetts).

The current practice location address for Glen S Blair is 230 Worcester St, Wellesley, MA and can be reached out via phone at 781-431-5255 and via fax at 781-431-5329.

Location: 230 Worcester St, Wellesley, MA, 02124-3510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629047873
Provider Name
Glen S Blair
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
230 Worcester St, Wellesley, MA, 02124-3510
Phone Number
781-431-5255
Fax Number
781-431-5329
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2733 01 MA BLUE CROSS
110018170A 05 MA
C318 01 MA HARVARD PILGRIM
institution
Provider Business Practice Location Address Details
Address
230 Worcester St
City
Wellesley
State
Massachusetts
Zip
02481-5420
Phone Number
781-431-5255
Fax Number
781-431-5329
person
Provider Business Mailing Address Details
Address
230 Worcester St
City
Wellesley
State
Massachusetts
Zip
02481-5420
Phone Number
781-431-5255
Fax Number
781-431-5329
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN157507 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
RN157507 (Massachusetts)
Definition
Definition to come...
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