Healthcare Provider Details

I. General information

NPI: 1033618772
Provider Name (Legal Business Name): BLAIRE WEATHERFORD MYERS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 CLAIRTON BLVD STE 100
PITTSBURGH PA
15236-5505
US

IV. Provider business mailing address

4070 BEECHWOOD BLVD
PITTSBURGH PA
15217-2679
US

V. Phone/Fax

Practice location:
  • Phone: 412-466-5004
  • Fax: 412-466-7137
Mailing address:
  • Phone: 412-521-6511
  • Fax: 412-521-6512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP09805
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP027682
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: