| Doctor Name: | MRS. HEATHER BLAIR |
| NPI Number: | 1104219351 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 0991866 |
| Business Practice Address: | 735 Us Highway 24 Leadville, CO - 804613978 |
| Business Phone Number: | 7194860500 |
| Business Fax Number: | 7194863966 |
| Mailing Address: | Po Box 2332, SILVERTHORNE |
| State: | CO |
| Postal Code: | 804982332 |
| Phone Number: | 2069202701 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2015 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0991866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |