P Praxis·MD
● Active Type 1 · Individual

Victoria L Blair, NURSE PRACTITIONER

Nurse Practitioner·Idaho Falls, ID· NPI 1629128483 · Enumerated 2007 · 19 years on NPI
Blair is 1 of 42 nurse practitioner providers in Idaho Falls and 1 of 658 in Idaho.
NPI age
19 years
Enumerated 2007-01-11
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
2001 S Woodruff Ave Ste 15b
Idaho Falls, ID 834046372
📞 2083574633fax 2084190690
Mailing address
Po Box 1783
Idaho Falls, ID 834031783
📞 2085528774fax 2085232025

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #N21972 taxonomy 363L00000X

Identifiers

TypeValueNotes
01 (ID) NP772A NURSE PRACTITIONER
01 (ID) N21972 NURSING LICENSE

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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