Healthcare Provider Details

I. General information

NPI: 1194775023
Provider Name (Legal Business Name): KAREN BETH BLAIR RN, MS, CNS, CRRN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MIRANDA AVE BUILDING 7
PALO ALTO CA
94304-1207
US

IV. Provider business mailing address

3801 MIRANDA AVE BUILDING 7
PALO ALTO CA
94304-1207
US

V. Phone/Fax

Practice location:
  • Phone: 650-493-5000
  • Fax: 650-849-0131
Mailing address:
  • Phone: 650-493-5000
  • Fax: 650-849-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberRN 418454
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code364SR0400X
TaxonomyRehabilitation Clinical Nurse Specialist
License NumberCNS 2091
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: