Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MIRANDA FORDHAM BLAIS, WHNP-BC
ActiveMS. MIRANDA FORDHAM BLAIS, WHNP-BC is a Women's Health Nurse Practitioner healthcare provider located in BROOKHAVEN, Georgia. NPI 1639607625 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · BROOKHAVEN, GA
Registration Details
- NPI Number
- 1639607625
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2017 (9.1620906863661 yrs)
- Last Updated
- Feb 18, 2022
- Licenses
-
RN216488 (GA)RN216488 (GA)
Practice Information
- Address
-
3369 BUFORD HWY NE STE 810ABROOKHAVEN, GA, 303291742Browse GA providers · Browse ZIP 30329
- Phone
- 4043214692
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- Women's Health Nurse Practitioner
Other Women's Health Nurse Practitioner Providers in BROOKHAVEN, GA
| Name | Credential | NPI |
|---|---|---|
| NADINE L DONAHUE | NP | 1336766476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.