MS. AUTUMN SOLEIL BLAIS PNP
NPI 1912221789
Nurse Practitioner - Pediatrics in Brattleboro, VT
Active since March 22, 2010
About Ms. Autumn Soleil Blais Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AUTUMN SOLEIL BLAIS PNP (NPI 1912221789) is an individual pediatrics provider in Brattleboro, Vermont, licensed in Vermont (101.0135494) and active in the NPI registry since March 2010.
NPPES Registry Identity
NPI1912221789
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. AUTUMN SOLEIL BLAISCredential: PNP
Location Address209 AUSTINE DRBrattleboro, VT 05301-7223
Mailing Address119 Wardon RdPutney, VT 05346-6738 · (802) 579-8454
Phone(802) 579-8454
Sole ProprietorYes
Enumeration DateMarch 22, 2010
Last NPPES UpdateDecember 5, 2024
NPPES CertifiedDecember 5, 2024
✔ NPI 1912221789 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in VT · 101.0135494
209 AUSTINE DR, Brattleboro, VT 05301
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Residential Treatment Facility, Emotionally Disturbed Children
209 AUSTINE DR
BRATTLEBORO, VT 05301
BRATTLEBORO, VT 05301
Social Worker (Clinical)
209 AUSTINE DR, BUSINESS OFFICE
BRATTLEBORO, VT 05301
BRATTLEBORO, VT 05301
Psychologist (School)
209 AUSTINE DR, BUSINESS OFFICE
BRATTLEBORO, VT 05301
BRATTLEBORO, VT 05301
Registered Nurse (Lactation Consultant)
209 AUSTINE DR
BRATTLEBORO, VT 05301
BRATTLEBORO, VT 05301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912221789, enumerated as an "individual" on March 22, 2010.
The provider is located at 209 AUSTINE DR BRATTLEBORO, VT 05301 and the phone number is (802) 579-8454.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.