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YANA NICOLE BLAISE RN, FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1083859789
Individual Registrant: YANA NICOLE BLAISE RN, FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3640 GRAND AVENUE COCONUT GROVE, FL 33133 US
Tel: 305-446-5917 Fax: 305-446-0712
Tel: 305-446-5917 Fax: 305-446-0712
Contact information for business:
3640 GRAND AVE COCONUT GROVE, FL 33133-4953 US
Tel: 305-446-5917 Fax: 305-446-0712
Tel: 305-446-5917 Fax: 305-446-0712
Registration Information:
NPI: 1083859789
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | TN | RN0000162414 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | ARNP9278753 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
