Provider Demographics
NPI:1033551262
Name:BLAIR, BETH FARMER (WHNP)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:FARMER
Last Name:BLAIR
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 13TH AVENUE PL NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2568
Mailing Address - Country:US
Mailing Address - Phone:828-322-3017
Mailing Address - Fax:828-322-1087
Practice Address - Street 1:210 13TH AVENUE PL NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2568
Practice Address - Country:US
Practice Address - Phone:828-322-3017
Practice Address - Fax:828-322-1087
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC144820163W00000X
NC5006313363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse