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NPI Code Detail

MEDICARE: COURTNEY G LUPIA BLASI RN, WHNP

MEDICARE: COURTNEY G LUPIA BLASI RN, WHNP
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
1363LW0102XWomen's Health Nurse PractitionerR2038096MN
2163W00000XRegistered Nurse176701CO
3363LW0102XWomen's Health Nurse Practitioner820830NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912057191
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY G LUPIA BLASI RN, WHNP
Provider Business Mailing Address
First Line : 400 S 4TH ST STE 500
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6207
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 400 S 4TH ST STE 500
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6207
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 01/24/2025

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