Provider Demographics
NPI:1871249797
Name:BLAIR, HALEA (DNP-FNP-C)
Entity Type:Individual
Prefix:
First Name:HALEA
Middle Name:
Last Name:BLAIR
Suffix:
Gender:F
Credentials:DNP-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 PALMER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-1327
Mailing Address - Country:US
Mailing Address - Phone:443-504-2269
Mailing Address - Fax:
Practice Address - Street 1:1528 ROCK SPRING RD STE 100
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-2861
Practice Address - Country:US
Practice Address - Phone:443-776-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDNA363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily