Doctor Name: | YANA NICOLE BLAISE |
NPI Number: | 1083859789 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP |
License Number: | RN0000162414 |
Business Practice Address: | 3640 Grand Avenue Coconut Grove, FL - 33133 |
Business Phone Number: | 3054465917 |
Business Fax Number: | 3054460712 |
Mailing Address: | 3640 Grand Ave, COCONUT GROVE |
State: | FL |
Postal Code: | 331334953 |
Phone Number: | 3054465917 |
Fax Number: | 3054460712 |
NPI Enumeration Date: | 12/09/2008 |
NPI Last Update Date: | 07/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN0000162414 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |