Georgia Blair, RN CNM

Key facts

NPI

1609090984

Entity type

Individual (NPI type 1)

Primary specialty

Ambulatory Women's Health Care Registered Nurse 163WW0101X

License

10751400 (NJ)

Practice address

41 Obre PL
Shrewsbury, NJ 07702-4123

Phone

(732) 747-1235

NPI assigned

Apr 11, 2007

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)

No

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609090984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 OBRE PL",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 OBRE PL",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024123",
            "telephone_number": "732-747-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "GEORGIA",
        "credential": "RN CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NJ",
            "license": "10751400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Shrewsbury, NJ · Ambulatory Women's Health Care Registered Nurse in New Jersey