Provider Demographics
NPI:1962977967
Name:BLAIR, NATALE (RN, MHA)
Entity type:Individual
Prefix:MS
First Name:NATALE
Middle Name:
Last Name:BLAIR
Suffix:
Gender:F
Credentials:RN, MHA
Other - Prefix:MS
Other - First Name:RACHEAL
Other - Middle Name:
Other - Last Name:PARORI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:18101 POINT LOOKOUT DR APT 348
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3762
Mailing Address - Country:US
Mailing Address - Phone:954-864-4454
Mailing Address - Fax:
Practice Address - Street 1:18101 POINT LOOKOUT DR APT 348
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3762
Practice Address - Country:US
Practice Address - Phone:954-864-4454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX896226163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse