National Provider Identifier
Wade Blair, FPMHNP-BC
Wade Blair, FPMHNP-BC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Lyons, NY and a listed phone number of (315) 946-5722.
Profile Overview
- NPI
- 1760157424
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- August 13, 2021
- Last Updated
- September 11, 2021
Practice Location
- 1519 Nye RD
- Lyons, NY 14489-9133
Phone: (315) 946-5722
Mailing Address
- 6218 Wadsworth RD
- Wolcott, NY 14590-9613
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1760157424
- Entity Type
- Individual
- Last Name
- Blair
- First Name
- Wade
- Credential
- FPMHNP-BC
- Mailing Street Address
- 6218 Wadsworth RD
- Mailing City
- Wolcott
- Mailing State
- NY
- Mailing ZIP Code
- 14590-9613
- Mailing Country
- US
- Mailing Phone
- (585) 217-6783
- Practice Street Address
- 1519 Nye RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9133
- Practice Country
- US
- Practice Phone
- (315) 946-5722
- Practice Fax
- (315) 946-5726
- Enumeration Date
- August 13, 2021
- Last Updated
- September 11, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)