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1902849938

NPI Code Detail

MEDICARE: TAMMIE MAE BLAIR NP

MEDICARE: TAMMIE MAE BLAIR 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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	RN1024450	DC
2	207VG0400X	Gynecology Physician	R248550	MD
3	207VG0400X	Gynecology Physician	752978	CA
4	207VG0400X	Gynecology Physician	117969	WV
5	207VG0400X	Gynecology Physician	0024168949	VA
6	207VG0400X	Gynecology Physician	214952	CT
7	207VG0400X	Gynecology Physician	APRN03987	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN1024450	OTHER	DC	STATE LICENSE
2	117969	OTHER	WV	WEST VIRGINIA BOARD OF NURSING
3	0024168949	OTHER	VA	VIRGINIA BOARD OF NURSING
4	APRN03987	OTHER	RI	RHODE ISLAND BOARD OF NURSING
5	R248550	OTHER	MD	MARYLAND BOARD OF NURSING
6	214952	OTHER	CT	CONNECTICUT BOARD OF NURSING
7	752978	OTHER	CA	CALIFORNIA BOARD OF NURSING

General Provider Information

NPI Number	:	1902849938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMIE MAE BLAIR NP

Provider Business Mailing Address
First Line	:	10440 LITTLE PATUXENT PKWY STE 300
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3648
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:

Provider Business Practice Location Address
First Line	:	10440 LITTLE PATUXENT PKWY STE 300
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3648
Country	:	US
Telephone Number	:	703-618-0111
Fax Number	:

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	05/05/2026

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Directions to “ TAMMIE MAE BLAIR NP” Practice Location

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