Chynna Sue Blair, FNP-C
Individual provider Active NPI Family Nurse Practitioner · La Marque, TX
NPI 1457781296 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1457781296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 737378 (TX)
- Practice address
- 2600 FM 1764 Rd
Suite 190
La Marque, TX 77568-2824 - Phone
- (281) 886-8964
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 737378 | TX | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 737378 | TX | Yes |
Addresses
Primary practice location
2600 FM 1764 Rd
Suite 190
La Marque, TX 77568-2824
Mailing address
2511 Kildeer CT
League City, TX 77573-4861
Phone (254) 974-3033
Other providers in La Marque, TX
- Sidney Price Bailey
- Bay Area Community Support Services
- Bay Area Inpatient Group PA
- Bay Area Transitional Clinic PLLC
- Abigail Christine Bessire
- Bombaye
- Barbara Lynn Bradford
- Taryn Leeann Britt
- Isoke Burnett
- Brandi Burton
All providers in La Marque, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.