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NPI Code Detail

MEDICARE: BLAISE NIEVE PHD, RN

MEDICARE: BLAISE NIEVE PHD, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse361240NC

General Provider Information

NPI Number : 1942168174
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAISE NIEVE PHD, RN
Provider Business Mailing Address
First Line : 3018 HAMMER CREEK RD
Second Line :
City : DURHAM
State : NC
Zip : 27704-6149
Country : US
Telephone Number : 919-298-1918
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-298-1918
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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