MEDICARE: BLAIRE PARKER NP

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
1	363LF0000X	Family Nurse Practitioner	856567	NV

General Provider Information

NPI Number	:	1831068840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BLAIRE PARKER NP

Provider Business Mailing Address
First Line	:	9750 W SKYE CANYON PARK DR # 160-475
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6623
Country	:	US
Telephone Number	:	702-720-3698
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 TRINITY PEAK AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9026
Country	:	US
Telephone Number	:	702-577-0024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/30/2025

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Directions to “ BLAIRE PARKER NP” Practice Location

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