MOLLY BLACK

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1114529674

Practice Address

1585 3RD ST
Fort Polk, LA 71459

Phone: (210) 862-9692

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 971137 (TX)

Frequently Asked Questions

NPI 1114529674 is the National Provider Identifier for MOLLY BLACK, a Nurse Anesthetist, Certified Registered provider located in Fort Polk, LA. This NPI was enumerated on November 10, 2020.
MOLLY BLACK practices at 1585 3RD ST, Fort Polk, LA 71459.

Quick Facts

NPI
1114529674
Type
Individual
Enumerated
Nov 10, 2020
Last Updated
Jul 8, 2025

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