Active NPIIndividual providerSole proprietor

Ms. Autumn S Blais, PNP

Nurse Practitioner, Pediatrics in Brattleboro, Vermont

NPI Number1912221789
Practice location
209 Austine Dr, Brattleboro, VT 05301-7223
Fax
—
Last updated
December 5, 2024

Autumn Soleil Blais is a Nurse Practitioner, Pediatrics based in Brattleboro, VT. Autumn Soleil Blais practices in Brattleboro, VT and has the professional credentials of PNP. The NPI Number for Autumn Soleil Blais is 1912221789 and holds a License No. 101.0135494 (VT). The current practice location address for Autumn Soleil Blais is 209 Austine Dr, Brattleboro, VT 05301-7223 and can be reached out via phone at 802-579-8454.

Provider Profile Details

NPI Number
1912221789
Provider Name
Autumn Soleil Blais
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
209 Austine Dr, Brattleboro, VT 05301-7223
Phone Number
802-579-8454
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
Yes
Provider Enumeration Date
March 22, 2010
Last Update Date
December 5, 2024
Certification Date
December 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
209 Austine Dr
Brattleboro, VT 05301-7223
State
Vermont
Zip
05301-7223
Phone Number
802-579-8454
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
119 Wardon RD
Putney, VT 05346-6738
City
Putney
State
VT
Zip
05346-6738
Phone Number
802-579-8454

License Information

License Number
101.0135494
License State
VT
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Autumn S Blais, PNP?

The NPI number of Ms. Autumn S Blais, PNP is 1912221789. It was assigned on March 22, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Autumn S Blais, PNP?

Ms. Autumn S Blais, PNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in VT under license number 101.0135494.

Where does Ms. Autumn S Blais, PNP practice?

The practice location is 209 Austine Dr, Brattleboro, VT 05301-7223. The office can be reached at 802-579-8454 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912221789 directly on the NPPES registry website.

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