| Doctor Name: | SYDNEY BLAIR |
| NPI Number: | 1013310655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | NUR-RN-LIC-75968 |
| Business Practice Address: | 699 Farmhouse Ln Bozeman, MT - 597159402 |
| Business Phone Number: | 4065566500 |
| Business Fax Number: | 4065228361 |
| Mailing Address: | 699 Farmhouse Ln, BOZEMAN |
| State: | MT |
| Postal Code: | 597159402 |
| Phone Number: | 4065566500 |
| Fax Number: | 4065228361 |
| NPI Enumeration Date: | 09/26/2014 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | NUR-RN-LIC-75968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |